go back

California rates for HCPCS 25426

Repair of defect with autograft; radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.00 / $7,648.00 / $18,309.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.67 / $1,090.85 / $5,866.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,776.00 / $8,484.00 / $17,774.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.93 / $1,626.85 / $3,183.19
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $9,907.12
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.47 / $1,547.46 / $3,315.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,813.00 / $4,091.54 / $7,328.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.23 / $1,505.16 / $3,056.46
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.80 / $1,285.95 / $1,736.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.88 / $1,452.50 / $2,604.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,201.72 / $11,817.20 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,198.03 / $8,271.92 / $9,659.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.66 / $1,538.76 / $2,075.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.83 / $1,562.82 / $2,996.63
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,639.79 / $3,639.79 / $3,639.79
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.94 / $1,167.33 / $1,426.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,416.00 / $12,313.00 / $26,451.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.54 / $1,184.76 / $2,480.38