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California rates for HCPCS 25391

Osteoplasty Radius/Ulna Lengthening W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.00 / $7,648.00 / $18,309.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.43 / $1,008.13 / $5,208.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,776.00 / $9,110.00 / $17,774.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.60 / $1,491.34 / $2,828.15
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $11,052.99
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.80 / $1,292.57 / $2,830.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,813.00 / $18,587.95 / $33,291.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.07 / $1,381.50 / $2,743.17
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.90 / $1,150.46 / $1,553.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.68 / $1,274.14 / $2,323.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,737.96 / $26,542.00 / $53,685.80
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,522.99 / $7,771.25 / $8,596.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.58 / $1,324.60 / $1,856.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.22 / $1,435.47 / $2,662.88
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,231.61 / $3,231.61 / $3,231.61
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.48 / $1,028.39 / $1,276.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,142.00 / $12,434.00 / $26,451.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.05 / $1,078.83 / $2,181.92