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Tennessee 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
$891.25 / $2,454.71 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $954.99 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $6,606.93 / $9,772.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,348.96 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,288.25 / $1,995.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $19,952.62 / $45,708.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.10 / $7,943.28 / $7,943.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $7,585.78 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,122.02 / $1,819.70