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Alaska rates for HCPCS 25312

Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obtaining graft), each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $9,774.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.14 / $3,502.42 / $4,903.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.14 / $3,502.42 / $4,903.39