go back

Maryland 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
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $641.21 / $1,490.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.59 / $926.98 / $1,374.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.00 / $643.00 / $1,185.00