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Missouri 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
$1,258.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.13 / $782.18 / $2,886.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,279.00 / $8,563.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.16 / $999.00 / $1,491.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.20 / $1,076.83 / $1,679.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.03 / $1,246.44 / $19,913.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.05 / $1,128.80 / $6,555.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.37 / $1,020.83 / $1,659.29