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Ohio 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
$767.18 / $4,590.00 / $10,268.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $3,576.00 / $14,996.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.68 / $427.28 / $622.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.05 / $504.05 / $504.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,840.00 / $5,625.00 / $7,847.00