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Missouri rates for HCPCS 25310

Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.00 / $3,697.00 / $8,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,279.00 / $8,563.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.79 / $999.24 / $8,660.15
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$185.49 / $185.49 / $849.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.00 / $3,318.00 / $5,740.00