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Massachusetts 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
$1,477.98 / $2,747.00 / $5,159.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,402.00 / $9,401.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.29 / $1,482.50 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,134.64 / $6,134.64 / $6,134.64
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $5,268.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00