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Pennsylvania 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
$776.04 / $2,791.00 / $7,799.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.71 / $606.71 / $606.71
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.75 / $1,683.85 / $8,064.17
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,839.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.71 / $606.71 / $606.71
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.66 / $519.66 / $790.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00