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West Virginia 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
$724.44 / $724.44 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $724.44 / $1,174.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $954.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,071.52 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $851.14 / $1,288.25