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Idaho 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
$2,884.03 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,174.90 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $10,715.19 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,778.28 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,258.93 / $1,584.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,548.82 / $2,398.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,584.89 / $2,137.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $16,218.10 / $22,908.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,778.28 / $2,187.76
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,047.13 / $13,489.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $11,748.98 / $29,512.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,348.96 / $1,862.09