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Rhode Island 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
$2,398.83 / $3,235.94 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $758.58 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,202.26 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $7,244.36 / $13,182.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $933.25 / $1,621.81