go back

Kansas 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
$1,548.82 / $4,570.88 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $758.58 / $1,318.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,905.46 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $933.25 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,202.26 / $11,748.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $954.99 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,715.35 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $870.96 / $1,202.26