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Alaska rates for HCPCS 25315

Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.95 / $3,748.86 / $3,748.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.35 / $2,524.04 / $3,316.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.43 / $3,748.86 / $5,248.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,907.63 / $2,289.15 / $4,647.22
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.25 / $3,825.28 / $4,682.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.43 / $3,748.86 / $5,248.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.44 / $3,780.80 / $4,881.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,015.20 / $3,533.67 / $4,442.33