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Illinois 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
$923.00 / $2,747.00 / $5,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,295.45 / $7,880.45 / $17,188.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.38 / $1,274.35 / $3,270.64
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,820.00 / $12,241.00