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Kentucky 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
$794.33 / $1,778.28 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $933.25 / $1,621.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $3,801.89 / $8,511.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $954.99 / $1,584.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,148.15 / $1,479.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,122.02 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,548.82 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,659.59 / $7,413.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $5,011.87 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,174.90 / $1,778.28