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Idaho 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
$1,737.80 / $3,388.44 / $7,943.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $5,623.41 / $8,511.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,258.93 / $1,905.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $7,762.47 / $10,232.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $10,232.93 / $27,542.29