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Massachusetts 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
$1,288.25 / $3,311.31 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $2,454.71
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $7,413.10 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,479.11 / $7,413.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,412.54 / $2,570.40
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,862.09 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $1,621.81
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,918.31 / $15,488.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,659.59 / $2,630.27
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $7,413.10 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,479.11 / $7,413.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $7,244.36 / $16,595.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,513.56 / $2,691.53