go back

Texas 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
$895.00 / $3,682.00 / $12,377.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.54 / $679.11 / $1,201.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,518.44 / $4,325.17 / $8,431.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.29 / $783.88 / $1,068.17
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $599.80 / $607.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.31 / $763.31 / $763.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.75 / $908.13 / $1,391.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,517.64 / $11,500.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,780.40 / $5,932.82 / $6,128.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.11 / $922.39 / $1,422.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.69 / $995.63 / $1,234.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.23 / $1,106.86 / $2,411.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.09 / $924.23 / $1,461.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.98 / $958.54 / $1,419.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.71 / $721.58 / $1,165.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.49 / $642.57 / $894.59