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Kansas 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
$1,698.24 / $5,248.07 / $10,471.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,071.52 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,818.38 / $6,309.57