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New Mexico 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
$730.04 / $2,095.00 / $7,838.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,552.54 / $16,307.81 / $25,305.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.87 / $1,027.75 / $1,296.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $16,897.00