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Forearm or Wrist Tendon Transfer With a Graft

Washington 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 $1,778 · 10th–90th $871$14,4540%5%10%10th90th$1,778$1.0K$2.0K$5.0K$10.0K$20.0K

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
$977.24
Median
$6,456.54
Typical High
$18,620.87
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$10,000.00
Typical High
$17,782.79
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,479.11
Typical High
$4,265.80
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,380.38
Typical High
$1,445.44
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$977.24
Typical High
$1,000.00
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$9,772.37
Typical High
$17,378.01
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$10,232.93
Typical High
$18,620.87