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Maryland 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
$3,421.93 / $3,421.93 / $3,421.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.62 / $987.65 / $1,447.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00