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Indiana 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
$1,096.48 / $4,897.79 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $724.44 / $1,380.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $13,803.84 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $954.99 / $1,548.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $741.31 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $954.99 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $9,549.93 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $776.25 / $1,348.96