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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
$3,741.00 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.83 / $3,546.96 / $3,546.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,782.41 / $2,373.77 / $3,155.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.27 / $3,546.96 / $4,965.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,816.25 / $2,179.50 / $4,424.62
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,617.50 / $3,350.40 / $4,454.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.27 / $3,546.96 / $4,965.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.08 / $3,244.29 / $4,591.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,489.22 / $6,489.22 / $6,489.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,888.18 / $3,798.04 / $4,177.84