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Missouri 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
$1,110.00 / $4,908.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,279.00 / $8,563.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.63 / $1,166.53 / $8,957.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$185.81 / $185.81 / $849.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,062.56 / $4,000.00 / $10,781.00