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Kansas rates for HCPCS 25426

Repair of defect with autograft; radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,757.00 / $6,071.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.61 / $1,136.20 / $1,769.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,597.30 / $3,647.06 / $6,069.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.07 / $1,863.61 / $1,863.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.71 / $1,494.29 / $2,396.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.20 / $1,769.61 / $8,419.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.30 / $1,498.69 / $8,271.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.30 / $1,394.65 / $1,959.00