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Forearm or Wrist Tendon Transfer With a Graft

Utah 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 $4,571 · 10th–90th $1,047$9,1200%10%10th90th$4,571Professionalmedian $1,047 · 10th–90th $692$1,4450%20%10th90th$1,047$500.0$1.0K$2.0K$5.0K$10.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$4,570.88
Typical High
$8,709.64
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$6,309.57
Typical High
$9,772.37
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,047.13
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$13,803.84