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Idaho 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
$4,500.00 / $7,761.00 / $8,487.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.81 / $1,127.91 / $1,567.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,214.76 / $4,214.76 / $4,226.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.16 / $1,168.04 / $1,452.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.73 / $1,567.94 / $1,881.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.03 / $1,373.49 / $1,798.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,074.55 / $1,213.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,138.70 / $17,361.59 / $22,059.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.24 / $1,560.28 / $1,798.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $9,360.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.94 / $1,178.72 / $1,652.84