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Washington, DC 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
$776.25 / $4,073.80 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $1,949.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,148.15 / $2,041.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,513.56 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $13,489.63 / $33,884.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $954.99 / $2,041.74