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Arkansas rates for HCPCS 25375

Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.80 / $1,672.34 / $9,034.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.78 / $1,141.18 / $1,458.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,027.36 / $3,027.36 / $3,632.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.44 / $1,261.80 / $1,336.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,700.24 / $4,700.24 / $4,700.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.23 / $1,484.76 / $1,769.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,828.00 / $6,957.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.64 / $1,261.28 / $1,822.02