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Tennessee 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
$1,100.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.03 / $687.12 / $1,110.39
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
$2,201.00 / $3,993.00 / $5,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.17 / $880.59 / $1,422.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.05 / $950.54 / $1,453.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,517.64 / $8,957.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,780.40 / $5,932.82 / $6,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,722.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.89 / $823.40 / $1,419.27