go back

New York 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
$812.83 / $5,011.87 / $10,471.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $5,888.44 / $12,302.69
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,995.26 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $616.60 / $1,949.84
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $5,248.07
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $4,365.16 / $9,549.93
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $645.65 / $3,090.30