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Massachusetts 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
$1,949.84 / $3,630.78 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,047.13 / $2,511.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $5,623.41 / $33,884.42
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,548.82 / $7,079.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,479.11 / $2,691.53
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,905.46 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,230.27 / $1,698.24
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,165.95 / $13,182.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,698.24 / $2,754.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,623.41 / $33,884.42
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,548.82 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,888.44 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,548.82 / $2,754.23