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Missouri 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
$1,258.93 / $3,548.13 / $7,943.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,677.35 / $8,317.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $912.01 / $9,772.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,630.27 / $4,677.35