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Missouri rates for HCPCS 25500

Closed treatment of radial shaft fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.62 / $2,598.00 / $7,365.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$167.13 / $184.63 / $236.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.84 / $266.83 / $430.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.02 / $279.01 / $412.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.00 / $348.67 / $572.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.84 / $357.08 / $749.55
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$871.06 / $871.06 / $871.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.45 / $420.65 / $2,195.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.20 / $340.78 / $595.58