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Oklahoma 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
$1,346.00 / $4,195.00 / $13,200.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,132.98 / $14,509.07 / $22,924.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.55 / $1,147.51 / $8,753.15
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$185.81 / $849.00 / $849.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,524.00 / $9,232.95