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Maine 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
$644.49 / $810.10 / $971.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.38 / $1,047.44 / $1,488.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.01 / $1,173.98 / $1,665.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.38 / $1,125.04 / $1,725.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.49 / $930.21 / $971.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.03 / $1,069.22 / $1,546.65