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Missouri 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
$1,258.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.52 / $629.33 / $2,089.63
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
$572.35 / $767.00 / $1,133.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.08 / $837.23 / $1,342.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.77 / $990.18 / $8,957.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.35 / $878.95 / $4,946.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,469.00 / $3,892.00 / $6,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.83 / $802.54 / $1,327.47