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Tennessee 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
$1,103.00 / $2,683.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.00 / $5,467.00 / $9,419.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,891.44 / $25,961.25 / $26,542.00
Lucent Health
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
$3,964.00 / $8,273.00 / $12,407.00