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Arizona rates for HCPCS 25391

Osteoplasty Radius/Ulna Lengthening W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.43 / $1,002.02 / $1,933.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,126.40 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.49 / $1,191.42 / $1,489.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.79 / $1,265.29 / $1,963.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.87 / $1,345.81 / $7,167.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.49 / $1,146.17 / $7,522.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.50 / $1,037.01 / $2,015.30