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Missouri rates for HCPCS 25365

Osteotomy; radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.03 / $930.45 / $1,449.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,279.00 / $8,563.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.35 / $1,170.46 / $1,746.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.58 / $1,275.14 / $1,992.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.50 / $1,483.18 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.84 / $1,327.59 / $7,172.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,062.56 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.11 / $1,208.35 / $1,981.69