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Forearm Muscle Release With Tendon Transfer

Florida rates for HCPCS 25316

Releases the tightened muscles that bend the wrist and fingers by sliding their attachment down off the forearm bone, and also moves one or more tendons to a new attachment so that working muscles take over a lost function. It is used for a hand and wrist held permanently clenched, from conditions such as cerebral palsy or scarring after a severe forearm injury. The goal is a hand that can open, be kept clean, and be used for simple tasks.

Facilitymedian $5,888 · 10th–90th $1,047$13,4900%10%10th90th$5,888Professionalmedian $955 · 10th–90th $776$1,5490%20%40%10th90th$955$50.0$200.0$1.0K$5.0K$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
$1,000.00
Median
$4,265.80
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$954.99
Typical High
$1,513.56
AvMed
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$4,466.84
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$954.99
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$3,467.37
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,202.26
Typical High
$1,862.09
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$13,489.63
Typical High
$23,988.33
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$707.95
Typical High
$1,174.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$12,302.69
Typical High
$19,054.61
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$977.24
Typical High
$1,862.09
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$954.99