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Georgia 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
$1,202.26 / $5,370.32 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $794.33 / $1,445.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,754.23 / $6,025.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,122.02 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,258.93 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,096.48 / $1,819.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,148.15 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $6,456.54 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $933.25 / $1,659.59