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Florida 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
$933.25 / $4,570.88 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $758.58 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,584.89 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $912.01 / $1,445.44
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $12,022.64 / $22,908.68
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $562.34 / $912.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $10,232.93 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $724.44 / $1,318.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $741.31