go back

California rates for HCPCS 28225

Tenolysis Extensor Foot Single Tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.89 / $4,848.00 / $16,573.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.28 / $369.47 / $1,177.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.05 / $289.05 / $289.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,720.00 / $10,404.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.44 / $376.14 / $749.52
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,609.24
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.95 / $395.56 / $772.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.00 / $3,101.23 / $5,554.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.24 / $438.37 / $821.12
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.18 / $352.45 / $695.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.24 / $452.81 / $783.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,260.32 / $1,372.99 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,971.92 / $2,983.52 / $3,452.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.52 / $422.70 / $650.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.06 / $467.56 / $899.20
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.25 / $871.25 / $1,407.40
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.86 / $310.57 / $572.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,800.00 / $7,042.00 / $14,636.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.30 / $409.70 / $968.19