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Missouri 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
$1,258.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.59 / $743.05 / $1,159.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,279.00 / $8,563.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.77 / $873.00 / $1,274.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.21 / $966.03 / $1,584.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.08 / $1,141.40 / $8,957.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.03 / $1,013.44 / $5,633.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.00 / $3,864.00 / $6,489.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.09 / $921.79 / $1,568.71