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Indiana rates for HCPCS 25426

Repair Defect W/Autograft Radius&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.14 / $2,673.16 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.85 / $1,051.95 / $1,439.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.00 / $7,833.00 / $14,645.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.46 / $1,493.30 / $2,060.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.04 / $1,417.89 / $2,126.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.78 / $1,265.98 / $1,823.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,792.15 / $2,792.15 / $3,309.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.45 / $1,537.50 / $2,405.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.02 / $1,233.55 / $2,216.23