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Ohio 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
$1,469.43 / $5,201.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.22 / $1,148.93 / $2,274.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,777.00 / $6,934.00 / $30,285.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.47 / $1,441.18 / $2,332.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.54 / $1,330.32 / $1,766.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.46 / $1,552.04 / $127,498.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.15 / $1,629.64 / $2,360.26
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.60 / $1,322.60 / $1,322.60
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.03 / $1,659.95 / $2,376.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.15 / $803.99 / $1,366.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $8,448.00 / $13,676.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.26 / $1,474.81 / $2,354.03