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Missouri rates for HCPCS 25426

Repair of defect with autograft; radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.79 / $1,136.20 / $1,769.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,279.00 / $8,563.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.63 / $1,446.15 / $2,121.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.98 / $1,547.37 / $2,468.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.77 / $1,760.96 / $11,258.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.24 / $1,621.52 / $8,271.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.65 / $1,478.70 / $2,450.06