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Indiana 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
$577.66 / $2,318.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.24 / $578.71 / $945.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.00 / $6,474.00 / $13,758.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.02 / $858.30 / $1,184.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.07 / $792.05 / $1,188.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.75 / $678.90 / $1,018.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.34 / $2,116.34 / $2,508.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.97 / $826.06 / $1,301.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,069.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.77 / $678.90 / $1,216.80