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Forearm or Wrist Tendon Transfer With a Graft

South Dakota rates for HCPCS 25312

A working tendon in the forearm or wrist is rerouted to take over the job of one that no longer functions, restoring movement of the wrist or fingers. A length of tendon taken from elsewhere in the body is used to bridge the gap and complete the connection. It covers a single tendon; if more than one is treated, each is billed separately.

Rates data updated July 2026.

Facilitymedian $1,585 · 10th–90th $871$4,3650%20%10th90th$1,585Professionalmedian $1,202 · 10th–90th $275$1,4790%10%20%10th90th$1,202$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$4,365.16
Typical High
$4,365.16
Avera
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Medica
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,202.26
Typical High
$1,862.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,621.81
Typical High
$1,621.81
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,202.26
Typical High
$1,412.54
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$6,760.83