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Michigan rates for HCPCS 25520

Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $575.44 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $912.01 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $645.65 / $1,174.90
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $660.69 / $891.25
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $630.96 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,288.25 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $630.96 / $831.76