go back

Louisiana 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
$912.01 / $2,691.53 / $5,888.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $5,623.41 / $10,232.93
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $4,677.35 / $10,964.78