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Arizona 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
$2,089.30 / $3,890.45 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $933.25 / $2,691.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,318.26 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,148.15 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,348.96 / $9,332.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,148.15 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $7,079.46 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $954.99 / $1,659.59