go back

Kentucky 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
$630.96 / $1,778.28 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $741.31 / $1,288.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,801.89 / $8,511.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $660.69 / $1,122.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $912.01 / $1,174.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $912.01 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,202.26 / $5,754.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $4,677.35 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $870.96 / $1,412.54