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Texas 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
$677.58 / $3,095.00 / $10,546.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,380.71 / $4,283.20 / $8,173.76
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.00 / $3,046.62 / $8,687.86
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.72 / $159.72 / $402.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.05 / $504.05 / $504.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,661.12 / $11,500.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.44 / $639.51 / $1,063.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.44 / $644.62 / $1,088.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00