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Idaho rates for HCPCS 25425

Repair of defect with autograft; radius OR ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,230.27 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $8,709.64 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,862.09 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $6,760.83 / $6,760.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,318.26 / $1,698.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,698.24 / $2,511.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,698.24 / $2,238.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $16,218.10 / $22,908.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,862.09 / $2,290.87
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,096.48 / $13,489.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $10,232.93 / $27,542.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,445.44 / $1,995.26