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Iowa 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
$4,146.00 / $5,091.00 / $7,120.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.70 / $1,431.36 / $1,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.33 / $2,143.30 / $2,679.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.59 / $1,420.90 / $3,293.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $2,310.00 / $8,332.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.77 / $1,904.86 / $7,050.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,746.00 / $2,189.94 / $2,961.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.65 / $2,036.00 / $2,819.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.00 / $8,060.00 / $11,869.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.04 / $1,519.91 / $2,932.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,477.38 / $1,870.10 / $2,200.10