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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
$718.65 / $1,119.59 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.22 / $771.37 / $1,089.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.10 / $867.05 / $944.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.75 / $839.70 / $839.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.48 / $835.48 / $835.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.66 / $1,049.63 / $1,671.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,522.00 / $3,522.00 / $3,522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.30 / $979.65 / $1,544.22