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New York rates for HCPCS 25290

Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.11 / $4,260.00 / $9,969.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,248.00 / $5,196.00 / $11,909.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.86 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.05 / $504.05 / $504.05
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $479.54 / $1,182.31
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.81 / $417.81 / $417.81
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.82 / $2,209.82 / $3,490.06
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.05 / $555.00 / $597.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,248.00 / $11,200.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.35 / $531.35 / $3,145.69