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Massachusetts rates for HCPCS 25426

Repair of defect with autograft; radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.34 / $1,146.57 / $1,760.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,847.97 / $4,916.00 / $12,850.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.83 / $2,094.37 / $8,198.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.71 / $2,000.07 / $3,234.86
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.15 / $1,909.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.36 / $1,557.01 / $2,124.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,399.19 / $2,773.75 / $3,659.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.60 / $2,164.21 / $8,198.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.50 / $1,885.23 / $3,659.02