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Alaska rates for HCPCS 25526

Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation), includes internal fixation, when performed, includes repair of triangular fibrocartilage complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,739.41 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.31 / $4,646.14 / $5,000.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,337.48 / $3,126.01 / $4,114.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.14 / $4,646.14 / $6,504.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,368.58 / $2,842.29 / $5,770.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,433.75 / $4,740.32 / $5,810.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.14 / $4,646.14 / $6,504.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.56 / $4,685.20 / $6,052.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,473.61 / $4,286.20 / $5,501.76