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North Carolina rates for HCPCS 25301

Tenodesis at wrist; extensors of fingers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.04 / $1,338.00 / $10,924.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,503.36 / $2,503.36 / $2,539.89
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
$630.04 / $887.71 / $1,344.45
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$110.48 / $125.72 / $199.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,248.00 / $9,541.00 / $14,589.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,432.12 / $8,957.00 / $26,542.00
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$148.82 / $510.42 / $849.00