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Kansas 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
$2,757.00 / $6,071.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.13 / $967.07 / $1,506.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.00 / $1,803.72 / $1,898.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.09 / $1,571.87 / $1,571.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.50 / $1,273.80 / $1,891.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.07 / $1,506.98 / $8,419.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.99 / $1,298.27 / $7,050.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.05 / $1,193.92 / $1,667.40