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Maine 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
$851.14 / $2,818.38 / $10,000.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1,230.27 / $10,000.00