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Indiana 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
$1,079.65 / $2,774.70 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.80 / $1,091.26 / $1,493.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.36 / $1,578.36 / $1,578.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,146.00 / $9,219.00 / $30,900.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.24 / $1,656.50 / $2,261.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.28 / $1,473.14 / $2,209.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.24 / $1,315.30 / $1,894.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,963.58 / $5,963.58 / $7,069.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.61 / $1,652.59 / $2,499.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.43 / $1,323.70 / $2,329.91