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Arizona 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
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.43 / $927.13 / $4,989.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,126.40 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.33 / $1,142.09 / $1,427.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.63 / $1,206.05 / $1,879.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.09 / $1,316.83 / $7,167.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.43 / $1,095.96 / $7,050.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.90 / $988.56 / $1,906.55