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New York 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
$1,422.88 / $4,629.00 / $10,674.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.47 / $1,217.82 / $2,273.67
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
$4,749.00 / $9,877.00 / $16,490.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.72 / $1,253.23 / $2,855.97
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,648.44 / $2,390.00 / $10,957.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,648.44 / $1,648.44 / $1,648.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.60 / $1,322.60 / $1,322.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.13 / $1,871.40 / $4,408.54
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,710.00 / $3,112.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.93 / $1,806.34 / $2,669.58
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.10 / $1,093.10 / $1,093.10
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.68 / $1,395.12 / $2,461.03
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $1,322.60
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.46 / $1,886.05 / $4,150.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,444.00 / $8,115.00 / $18,487.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.03 / $1,514.57 / $3,593.06
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.12 / $1,395.12 / $6,500.22
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.10 / $1,523.36 / $2,949.06