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Missouri 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
$1,547.00 / $4,908.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,279.00 / $8,563.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.03 / $1,678.44 / $21,310.46
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
$2,426.00 / $4,432.00 / $12,989.00