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Idaho rates for HCPCS 25295

Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.78 / $1,895.78 / $1,901.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.51 / $1,064.93 / $1,309.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,301.55 / $7,849.65 / $9,927.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00