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Minnesota 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
$724.44 / $724.44 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $724.44 / $1,174.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,585.78 / $16,218.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,778.28 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,691.53 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,137.96 / $3,235.94
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,570.40 / $5,011.87
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,819.70 / $2,884.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,380.38 / $8,317.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,380.38 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $7,943.28 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,318.26 / $2,630.27