go back

Idaho 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
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.95 / $1,700.76 / $2,369.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,342.07 / $5,342.07 / $5,357.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.09 / $1,767.96 / $2,143.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,118.59 / $2,330.17 / $2,843.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,894.17 / $2,066.36 / $2,710.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,616.28 / $2,033.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,896.50 / $17,361.59 / $22,059.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.30 / $2,347.41 / $2,710.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.28 / $1,820.34 / $2,494.54