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New Jersey 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
$696.63 / $5,982.00 / $10,871.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.42 / $696.63 / $1,233.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.90 / $988.38 / $1,884.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.04 / $1,172.43 / $1,184.67
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,888.29 / $8,968.77 / $15,043.78
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.57 / $883.58 / $1,771.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,885.00 / $8,558.00 / $15,604.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.24 / $942.43 / $2,172.84