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Pennsylvania 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
$644.66 / $2,747.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,150.00 / $7,463.00 / $11,091.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.05 / $504.05 / $504.05
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,534.14 / $2,149.31 / $11,072.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,839.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.05 / $504.05 / $504.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.72 / $429.72 / $843.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00