go back

Wyoming 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
$616.60 / $724.44 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,570.40 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,258.93 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $5,128.61 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,258.93 / $2,630.27