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New Jersey 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
$4,466.84 / $6,918.31 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $933.25 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,318.26 / $2,884.03
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,071.52 / $1,479.11
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $22,908.68 / $36,307.81
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,230.27 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $10,000.00 / $25,118.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,023.29 / $2,238.72