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New York 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
$1,009.68 / $4,392.00 / $10,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.91 / $810.10 / $1,552.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,749.00 / $9,877.00 / $16,490.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.53 / $792.85 / $1,897.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.67 / $1,990.00 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.67 / $1,089.67 / $1,089.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.51 / $877.51 / $877.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.09 / $1,237.58 / $2,910.50
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $834.65 / $2,067.59
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.05 / $1,200.45 / $1,773.53
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.53 / $726.53 / $726.53
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.42 / $788.04 / $1,635.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $877.51
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.32 / $1,203.27 / $2,752.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,248.00 / $11,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.13 / $1,020.14 / $2,428.12
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.11 / $927.11 / $4,564.58
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.53 / $964.19 / $1,959.76