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New York 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
$1,258.93 / $4,265.80 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $2,570.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $11,481.54 / $18,620.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $912.01 / $2,290.87
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,995.26 / $8,912.51
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,445.44 / $4,168.69
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,047.13 / $2,691.53
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,348.96 / $1,949.84
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,174.90 / $1,949.84
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $1,202.26 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $6,456.54 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,148.15 / $2,818.38
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,096.48 / $5,248.07
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,096.48 / $2,818.38