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New Jersey rates for HCPCS 25274

Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.72 / $6,396.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.54 / $689.31 / $1,124.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.75 / $997.56 / $2,028.92
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.82 / $1,071.93 / $1,076.67
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,365.87 / $7,597.35 / $16,020.69
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.42 / $826.28 / $1,726.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,378.00 / $8,305.00 / $14,121.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.38 / $922.42 / $2,266.46