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Indiana rates for HCPCS 25500

Closed treatment of radial shaft fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.72 / $543.00 / $5,634.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$184.29 / $203.74 / $342.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.28 / $264.77 / $366.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $4,320.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.30 / $236.55 / $326.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.53 / $342.50 / $513.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.99 / $323.99 / $485.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.79 / $172.79 / $204.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.28 / $305.27 / $518.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.06 / $298.43 / $550.35