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Wyoming rates for HCPCS 25420

Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.16 / $1,179.04 / $1,485.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,116.00 / $6,116.00 / $6,116.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,249.00 / $2,699.00 / $4,082.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,603.79 / $2,358.09 / $3,245.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,934.00 / $6,934.00 / $26,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.89 / $2,348.00 / $4,162.59