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Forearm or Wrist Tendon Transfer With a Graft

Wisconsin 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 $7,943 · 10th–90th $1,479$14,1250%10%10th90th$7,943Professionalmedian $1,660 · 10th–90th $1,072$2,3440%10%20%10th90th$1,660$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
$707.95
Median
$3,548.13
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,317.64
Typical High
$14,125.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,238.72
Typical High
$3,548.13
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,479.11
Typical High
$6,760.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,479.11
Typical High
$13,489.63
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$9,332.54
Typical High
$15,848.93
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,000.00
Typical High
$1,621.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,584.89
Typical High
$2,344.23
Quartz
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$9,332.54
Typical High
$9,332.54
Quartz
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$645.65
Median
$645.65
Typical High
$933.25
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$12,022.64
Typical High
$14,454.40