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Oklahoma 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
$1,346.00 / $4,195.00 / $13,200.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,132.98 / $14,509.07 / $22,924.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,378.77 / $7,378.77 / $7,378.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.36 / $1,570.00 / $14,063.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$265.95 / $2,460.76 / $2,460.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,074.00 / $14,139.00