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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
$1,412.54 / $3,715.35 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $758.58 / $2,344.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,677.35 / $8,317.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $891.25 / $1,318.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $794.33 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $933.25 / $1,513.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,202.26 / $11,481.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,000.00 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,235.94 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $851.14 / $1,348.96