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Wyoming rates for HCPCS 25450

Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.35 / $632.00 / $798.68
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
$1,206.00 / $1,447.00 / $2,190.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.81 / $1,069.90 / $1,750.29
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
$728.08 / $1,239.11 / $2,025.40