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Washington, DC 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
$954.99 / $4,073.80 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $954.99 / $2,691.53
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $2,398.83 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,548.82 / $2,570.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,862.09 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $13,489.63 / $41,686.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,202.26 / $2,570.40