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Indiana 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
$716.97 / $2,318.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.49 / $721.79 / $988.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,473.00 / $7,890.00 / $30,900.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.81 / $1,070.30 / $1,477.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.81 / $979.73 / $1,469.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.81 / $839.77 / $1,259.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,705.12 / $4,705.12 / $5,577.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.42 / $1,135.57 / $1,729.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,348.00 / $12,569.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.96 / $875.80 / $1,548.84