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Iowa 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
$1,148.15 / $3,981.07 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $758.58 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,698.24 / $2,137.96
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,023.29 / $2,951.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,778.28 / $9,772.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,412.54 / $5,623.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,659.59 / $1,995.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,412.54 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $8,511.38 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,023.29 / $1,995.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,445.44 / $1,698.24