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Missouri 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 / $3,548.13 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $954.99 / $2,691.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,677.35 / $8,317.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,174.90 / $1,778.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,023.29 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,230.27 / $1,949.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,584.89 / $21,379.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,318.26 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,265.80 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,096.48 / $1,737.80