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Arizona rates for HCPCS 25405

Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.41 / $4,182.00 / $7,960.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,126.40 / $5,113.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.71 / $1,409.37 / $9,251.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$265.95 / $265.95 / $2,460.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,279.00 / $7,341.00 / $11,396.00