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North Carolina rates for HCPCS 25405

Rpr Nonunion/Malunion Radius/Ulna W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,015.95 / $1,620.58 / $10,561.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.70 / $748.70 / $7,855.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,015.95 / $1,564.68 / $2,296.05
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$186.66 / $237.72 / $321.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,891.44 / $25,961.25 / $26,542.00
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$236.73 / $1,479.43 / $2,460.76