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California 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
$1,992.00 / $7,648.00 / $18,309.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.43 / $1,178.83 / $6,091.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.22 / $1,058.22 / $1,058.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,644.00 / $18,544.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.52 / $1,777.03 / $3,345.55
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $11,035.69
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.43 / $1,514.90 / $3,307.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,813.00 / $8,738.87 / $15,651.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.46 / $1,592.08 / $3,198.63
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.84 / $1,336.90 / $1,834.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.95 / $1,509.65 / $2,706.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.08 / $25,239.65 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,810.18 / $9,100.92 / $10,035.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.38 / $1,604.28 / $2,182.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.02 / $1,658.42 / $3,111.51
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,779.78 / $3,779.78 / $3,779.78
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.76 / $1,454.76 / $1,834.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,696.00 / $13,555.00 / $28,973.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.44 / $1,247.27 / $2,575.92