go back

Indiana 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
$588.84 / $4,897.79 / $11,220.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $13,803.84 / $19,054.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $537.03 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $1,047.13 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $6,025.60 / $10,715.19