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Wyoming 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
Professional
Modifier
Low / Median / High Price
$831.76 / $933.25 / $1,621.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $6,165.95 / $6,165.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,235.94 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,698.24 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $6,918.31 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,659.59 / $3,467.37