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Idaho rates for HCPCS 25450

Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.24 / $798.68 / $1,260.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.78 / $1,895.78 / $1,901.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.44 / $935.14 / $1,114.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.91 / $1,171.09 / $1,488.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.80 / $1,110.33 / $1,448.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $868.36 / $1,092.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,834.98 / $8,126.28 / $9,927.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.17 / $1,259.02 / $1,448.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.83 / $916.32 / $1,263.08