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Minnesota 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
$676.38 / $676.38 / $6,575.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,083.23 / $5,939.08 / $11,966.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,646.62 / $2,336.31 / $5,620.32
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,496.93 / $2,135.94 / $4,425.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.03 / $1,159.74 / $3,991.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,121.00 / $5,499.00 / $9,810.00