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Maryland rates for HCPCS 25315

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.00 / $803.39 / $864.45
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.87 / $839.87 / $1,086.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $3,314.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.17 / $1,087.33 / $1,766.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.18 / $1,056.19 / $1,528.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.00 / $643.00 / $1,185.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.10 / $911.69 / $1,656.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.38 / $941.56 / $1,156.29