go back

Nebraska 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
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,094.34 / $5,385.17 / $10,416.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.03 / $1,179.29 / $7,221.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$185.81 / $849.00 / $849.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $1,773.63 / $3,000.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00