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Oklahoma rates for HCPCS 25426

Repair of defect with autograft; radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $4,195.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.55 / $1,180.20 / $1,198.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,358.72 / $3,358.72 / $3,358.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.69 / $1,464.85 / $1,874.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,180.20 / $1,621.80 / $8,753.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.06 / $1,289.01 / $8,271.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,910.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.46 / $1,230.42 / $1,735.48