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Oklahoma 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
$1,346.00 / $4,195.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.51 / $697.97 / $706.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.64 / $1,061.64 / $1,061.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,132.98 / $14,509.07 / $22,924.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.04 / $857.90 / $1,025.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.78 / $2,545.78 / $2,545.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.79 / $906.81 / $1,109.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.97 / $1,064.86 / $6,840.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.67 / $791.13 / $5,932.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,054.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.04 / $726.94 / $1,025.68