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Georgia rates for HCPCS 25107

Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.25 / $5,045.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.02 / $2,986.70 / $6,315.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.33 / $1,317.45 / $1,792.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.47 / $713.47 / $2,172.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.98 / $1,043.01 / $1,550.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $6,351.00 / $8,836.00