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Virginia 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
$1,538.00 / $5,360.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,823.00 / $12,004.00 / $15,528.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.00 / $776.00 / $1,178.07
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$116.84 / $116.84 / $116.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.50 / $1,274.24 / $1,499.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,081.35 / $1,380.87 / $2,131.78
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$186.66 / $251.36 / $377.24
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.39 / $1,389.38 / $4,522.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $13,296.00 / $26,537.00