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New York 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
$944.50 / $4,525.00 / $10,170.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,248.00 / $5,196.00 / $11,909.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.17 / $2,390.00 / $10,957.50
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $780.82 / $1,929.69
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.72 / $680.72 / $680.72
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,963.00 / $14,457.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.36 / $866.36 / $4,349.00