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North Carolina 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
$516.87 / $2,675.00 / $8,413.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.55 / $1,703.55 / $1,728.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $2,710.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.87 / $731.43 / $1,437.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,661.00 / $7,659.00 / $10,502.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.40 / $8,957.00 / $26,542.00