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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
$1,000.00 / $3,162.28 / $7,943.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,677.35 / $8,317.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,148.15 / $9,772.37
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$186.21 / $851.14 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,019.95 / $5,370.32