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Oklahoma 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
$1,048.00 / $3,803.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.49 / $809.09 / $822.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,659.86 / $5,659.86 / $5,659.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.99 / $1,044.65 / $1,279.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.09 / $1,157.00 / $6,889.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.24 / $903.04 / $6,555.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,243.00 / $4,424.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.10 / $840.83 / $1,188.70