go back

Wyoming rates for HCPCS 25426

Repair of defect with autograft; radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.16 / $1,135.46 / $1,429.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,767.20 / $2,767.20 / $2,767.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,165.00 / $2,598.00 / $3,931.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.97 / $2,270.92 / $3,123.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.03 / $2,285.07 / $3,824.59