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Alaska rates for HCPCS 25275

Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $10,000.00 / $16,982.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,047.13 / $4,570.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,023.29 / $3,630.78