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Georgia 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
$1,221.34 / $4,829.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.02 / $3,088.55 / $6,315.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,413.16 / $1,413.16 / $1,413.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.13 / $1,215.26 / $1,787.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$28.60 / $28.60 / $28.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00