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Oklahoma 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
$1,000.00 / $3,467.37 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $741.31 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $13,489.63 / $21,877.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,202.26 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $933.25 / $1,230.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,621.81 / $8,912.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $831.76 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $5,495.41 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $724.44 / $1,023.29