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Hawaii 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
$1,778.28 / $4,466.84 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $724.44 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $851.14 / $1,023.29
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,071.52 / $1,288.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $851.14 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $891.25 / $1,174.90
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $3,235.94 / $6,165.95