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Massachusetts 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 / $3,311.31 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $776.25 / $1,949.84
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $5,623.41 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,148.15 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,148.15 / $2,041.74
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,513.56 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $977.24 / $1,348.96
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,165.95 / $13,182.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,348.96 / $2,137.96
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $5,623.41 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,148.15 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,888.44 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,148.15 / $2,187.76