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Indiana 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
$885.92 / $2,318.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.71 / $893.73 / $1,223.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.00 / $7,833.00 / $14,645.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.95 / $1,364.80 / $1,883.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.23 / $1,209.53 / $1,814.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.95 / $1,036.74 / $1,555.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.34 / $2,116.34 / $2,508.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.51 / $1,374.00 / $2,088.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.67 / $1,064.03 / $1,915.38