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Texas rates for HCPCS 25301

Tenodesis at wrist; extensors of fingers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.00 / $3,224.00 / $11,453.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,491.08 / $4,325.17 / $8,431.35
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $583.32 / $591.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.28 / $737.28 / $737.28
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$73.26 / $73.26 / $73.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,432.12 / $11,500.00 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$148.82 / $849.00 / $849.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.13 / $831.92 / $1,265.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.13 / $836.28 / $1,303.66
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$73.26 / $73.26 / $209.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00