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Mississippi 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
$603.45 / $1,320.00 / $1,980.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,672.14 / $1,672.14 / $1,672.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,459.30 / $1,633.67 / $4,524.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,913.00 / $7,885.00