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Alaska rates for HCPCS 25455

Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $10,964.78 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $912.01 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,398.83 / $3,162.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,318.26 / $5,011.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,511.89 / $3,801.89
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,019.95 / $4,168.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,288.25 / $3,890.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,000.00 / $2,398.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $2,884.03 / $4,168.69