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Kentucky 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
$562.78 / $860.00 / $8,229.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $3,967.00 / $8,800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.82 / $875.94 / $1,010.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.34 / $771.12 / $771.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $3,828.00 / $8,582.00