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North Carolina rates for HCPCS 25525

Open treatment of radial shaft fracture, includes internal fixation, when performed, and closed treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation), includes percutaneous skeletal fixation, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.56 / $10,034.00 / $14,492.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.70 / $748.70 / $7,989.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.56 / $1,181.73 / $1,743.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,984.04 / $26,402.80 / $26,542.00