go back

Massachusetts rates for HCPCS 25315

Flexor Origin Slide Forearm &/Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $2,733.00 / $4,712.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.04 / $793.99 / $1,272.65
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,402.00 / $15,220.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.63 / $1,495.71 / $6,771.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.20 / $1,376.67 / $2,218.75
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.80 / $1,677.12 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.23 / $1,078.35 / $1,475.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.25 / $1,915.49 / $2,526.84
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $0.82 / $0.82
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,231.28 / $3,231.28 / $3,231.28
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $5,268.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.20 / $1,515.49 / $6,771.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.83 / $1,424.99 / $2,503.64