go back

North Carolina 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
$912.01 / $1,778.28 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $758.58 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,715.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $977.24 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,071.52 / $1,698.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,698.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $933.25 / $1,479.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,230.27 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $11,748.98 / $18,620.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $831.76 / $1,479.11
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $8,912.51 / $45,708.82
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $6,309.57