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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
$4,466.84 / $6,918.31 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $741.31 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $977.24 / $2,290.87
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $870.96 / $1,202.26
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $16,595.87
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $954.99 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,709.64 / $21,379.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $758.58 / $1,778.28