go back

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
$776.25 / $4,073.80 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $6,165.95 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,128.61 / $8,128.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $3,801.89 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,096.48
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,548.13 / $10,000.00