go back

Arkansas rates for HCPCS 25455

Epiphysl Arrst Epiphysiod/Stapling Dstl Rds&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.79 / $1,397.00 / $4,478.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.80 / $865.79 / $1,131.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,027.36 / $3,027.36 / $3,632.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.24 / $971.55 / $1,028.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,700.24 / $4,700.24 / $4,700.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.00 / $1,062.91 / $1,357.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $3,709.00 / $6,957.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.50 / $947.81 / $1,441.91