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Alaska rates for HCPCS 25316

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $10,964.78 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,148.15 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,019.95 / $3,981.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,862.09 / $6,309.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,162.28 / $4,677.35
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $5,248.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,737.80 / $4,897.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,258.93 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $4,073.80 / $5,248.07