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Montana rates for HCPCS 25315

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

Facilitymedian $1,349 · 10th–90th $1,047–$1,5850%50%10th90th$1,349Professionalmedian $1,122 · 10th–90th $741–$1,9500%10%20%10th90th$1,122$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,071.52 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,071.52 / $1,288.25
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,348.96 / $1,584.89
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,348.96 / $1,584.89
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,174.90 / $1,698.24
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $1,047.13 / $1,584.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $933.25 / $14,791.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,288.25 / $1,621.81