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Texas 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
$1,096.48 / $3,890.45 / $12,882.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,466.84 / $8,709.64
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,691.53 / $2,691.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $33,884.42 / $33,884.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $954.99 / $4,365.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $851.14 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,248.07 / $10,964.78