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Vermont rates for HCPCS 25455

Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $776.25 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $977.24 / $1,445.44
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,000.00 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $2,951.21