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Vermont 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
Professional
Modifier
Low / Median / High Price
$588.84 / $831.76 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $933.25 / $1,479.11
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $933.25 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $977.24 / $2,754.23