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Pennsylvania 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
$926.00 / $3,612.00 / $8,240.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,843.88 / $4,843.88 / $6,853.46
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.00 / $4,534.00 / $8,404.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.74 / $705.74 / $985.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00