go back

Delaware rates for HCPCS 25426

Repair of defect with autograft; radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,816.00 / $5,816.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.28 / $1,123.92 / $1,123.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,285.82 / $2,285.82 / $2,285.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.09 / $1,167.52 / $2,062.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.22 / $1,379.87 / $2,569.15