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California 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
$1,992.00 / $7,494.00 / $18,309.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,776.00 / $8,484.00 / $17,774.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $9,907.12
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.63 / $848.78 / $1,145.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.54 / $949.18 / $1,702.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,711.08 / $8,957.00 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$165.38 / $849.00 / $849.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.67 / $1,008.00 / $1,383.98
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$232.50 / $232.50 / $232.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,284.00 / $12,267.00 / $26,109.00