go back

West 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
$702.05 / $1,101.25 / $2,300.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.11 / $852.84 / $929.18