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North Carolina 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
$701.25 / $1,245.00 / $10,561.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.25 / $1,029.00 / $1,591.06
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$129.91 / $180.96 / $222.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,711.08 / $8,957.00 / $26,542.00
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$165.38 / $510.42 / $849.00