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Iowa 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
$1,445.44 / $3,981.07 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $954.99 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,089.30 / $2,630.27
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,288.25 / $3,162.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,398.83 / $17,782.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,819.70 / $7,079.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,238.72 / $2,454.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,778.28 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $11,748.98 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,380.38 / $2,570.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,778.28 / $2,137.96