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Ohio 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
$1,039.38 / $5,135.00 / $11,581.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $4,421.00 / $14,996.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.75 / $700.09 / $1,019.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,231.00 / $10,075.00