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Arizona 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
$2,137.96 / $4,365.16 / $8,317.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,511.89 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,071.52 / $7,943.28
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$186.21 / $186.21 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $6,025.60 / $8,709.64