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Oklahoma 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 / $3,612.00 / $12,600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,132.98 / $14,509.07 / $22,924.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.45 / $993.70 / $6,840.79
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$185.49 / $849.00 / $849.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.00 / $5,147.21 / $8,116.00