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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
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.99 / $1,436.01 / $1,962.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,687.93 / $6,687.93 / $6,706.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.88 / $1,463.46 / $1,817.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.76 / $1,960.18 / $2,382.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,569.66 / $1,712.36 / $2,245.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,339.63 / $1,685.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,746.17 / $17,361.59 / $22,059.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.12 / $1,944.85 / $2,245.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.79 / $1,503.36 / $2,060.15