go back

Oregon 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
$1,445.44 / $1,905.46 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $831.76 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,318.26 / $1,995.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,479.11 / $1,778.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,148.15 / $1,778.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,288.25 / $1,905.46
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,380.38 / $1,479.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,148.15 / $1,621.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,348.96 / $1,949.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $10,232.93 / $12,302.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,513.56 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $16,218.10 / $23,988.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,380.38 / $1,995.26