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Alaska rates for HCPCS 25500

Closed treatment of radial shaft fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.19 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$549.84 / $549.84 / $603.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.43 / $267.82 / $1,363.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.86 / $801.13 / $1,264.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.59 / $1,243.40 / $1,909.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.73 / $880.14 / $1,768.65
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.80 / $1,354.50 / $1,622.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.10 / $1,243.40 / $1,909.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.00 / $1,310.09 / $1,636.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.82 / $1,224.69 / $1,539.60