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Wyoming rates for HCPCS 25315

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $776.25 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $6,165.95 / $6,165.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,691.53 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,412.54 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $6,165.95 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,380.38 / $3,019.95