go back

Alaska rates for HCPCS 25393

Osteoplasty, radius AND ulna; lengthening with autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,247.35 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.68 / $5,507.61 / $5,507.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,780.69 / $3,728.93 / $4,832.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.18 / $5,507.61 / $7,710.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,778.58 / $3,334.29 / $6,768.92
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,035.00 / $5,615.80 / $6,820.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.18 / $5,507.61 / $7,710.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,682.63 / $5,550.50 / $7,172.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,979.20 / $5,220.50 / $6,562.91