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Arizona rates for HCPCS 25426

Repair of defect with autograft; radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.13 / $1,088.58 / $5,866.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,126.40 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.18 / $1,338.49 / $1,673.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.52 / $1,395.16 / $2,162.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.48 / $1,508.47 / $7,167.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.30 / $1,266.33 / $8,271.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.07 / $1,168.92 / $2,204.89