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Arizona 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
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.12 / $748.10 / $4,032.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.28 / $924.90 / $1,156.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.20 / $980.00 / $1,519.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.12 / $1,082.61 / $6,063.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.44 / $895.02 / $6,555.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.44 / $800.64 / $1,523.73