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Missouri 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
$1,547.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.60 / $967.07 / $1,506.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,279.00 / $8,563.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.86 / $1,227.00 / $1,885.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.58 / $1,305.94 / $2,086.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$889.46 / $1,531.45 / $8,957.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.01 / $1,396.47 / $7,050.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.49 / $1,276.75 / $2,059.56