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Virginia 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
$1,250.17 / $5,360.00 / $9,347.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.50 / $888.96 / $1,049.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.97 / $977.07 / $1,476.35
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$130.16 / $180.96 / $260.39
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.06 / $972.34 / $3,128.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,423.00 / $11,475.00 / $21,639.00