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California 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
$1,992.00 / $7,648.00 / $18,681.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,456.00 / $7,007.00 / $14,981.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $9,686.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,813.00 / $3,101.23 / $5,554.45
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.32 / $802.64 / $2,214.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.64 / $893.70 / $1,604.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,543.71 / $8,957.00 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.04 / $875.03 / $1,191.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,331.00 / $9,713.00 / $21,278.00