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Iowa 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
$4,146.00 / $5,091.00 / $7,120.36
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.66 / $993.80 / $2,618.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.17 / $1,665.28 / $7,896.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.08 / $1,665.47 / $2,961.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $6,588.00 / $10,320.00