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Washington, DC 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
$1,017.00 / $4,100.00 / $7,007.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.96 / $1,003.96 / $1,003.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.20 / $1,088.68 / $6,846.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.86 / $1,664.54 / $2,672.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.83 / $2,218.51 / $2,218.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $5,185.00 / $19,046.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.08 / $1,263.99 / $2,686.01