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Montana 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
$822.09 / $1,082.61 / $4,032.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.90 / $1,230.90 / $1,230.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.90 / $1,230.90 / $1,230.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.85 / $1,230.90 / $1,293.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.21 / $837.66 / $1,230.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.79 / $1,230.90 / $1,605.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.81 / $1,284.69 / $1,423.35