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Arizona 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
$2,089.30 / $3,890.45 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $758.58 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,047.13 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $870.96 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,000.00 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $870.96 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $6,025.60 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $724.44 / $1,318.26