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Alaska rates for HCPCS 25426

Repair of defect with autograft; radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,228.64 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.71 / $5,475.90 / $5,475.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,764.49 / $3,707.80 / $4,804.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.92 / $5,475.90 / $7,666.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,762.40 / $3,314.88 / $6,729.52
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,057.50 / $5,584.84 / $6,782.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.92 / $5,475.90 / $7,666.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,673.16 / $5,519.90 / $7,130.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,892.90 / $5,083.93 / $6,525.73