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Alaska rates for HCPCS 25420

Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,350.43 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.76 / $5,682.46 / $5,682.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,870.70 / $3,848.68 / $4,986.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.19 / $5,682.46 / $7,955.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,869.95 / $3,443.94 / $6,991.53
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,197.50 / $5,798.12 / $7,044.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.19 / $5,682.46 / $7,955.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.26 / $5,730.70 / $7,409.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,076.66 / $5,277.09 / $6,773.67