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Arizona rates for HCPCS 25145

Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $2,933.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.89 / $506.48 / $2,730.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,211.19 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.12 / $633.28 / $791.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.41 / $678.33 / $1,030.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.03 / $789.00 / $6,063.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.90 / $612.40 / $4,922.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.76 / $551.16 / $1,079.80