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West Virginia 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
$759.21 / $1,181.58 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.52 / $809.00 / $1,157.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.57 / $915.05 / $996.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.64 / $886.19 / $886.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.51 / $877.51 / $877.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.18 / $1,170.92 / $2,205.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.25 / $965.29 / $1,543.79