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Illinois 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
$813.00 / $2,758.00 / $5,549.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,196.50 / $7,371.93 / $16,079.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $3,072.73 / $3,430.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.17 / $1,139.86 / $3,411.90
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.00 / $4,530.00 / $8,566.00