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Nebraska 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
$4,083.97 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.66 / $702.66 / $4,032.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,306.43 / $5,664.13 / $10,956.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.70 / $1,158.57 / $1,544.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.26 / $5,266.26 / $5,266.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.41 / $1,696.94 / $2,274.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.66 / $1,229.66 / $8,816.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.20 / $1,567.64 / $2,111.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,893.98 / $6,616.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.08 / $1,716.86 / $2,274.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.20 / $1,590.21 / $2,005.67