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Idaho 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
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.29 / $1,363.25 / $2,313.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,741.00 / $5,741.00 / $5,757.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.46 / $1,448.57 / $1,668.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.89 / $1,807.65 / $2,259.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.26 / $1,705.37 / $2,231.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,506.38 / $1,678.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,951.56 / $17,361.59 / $22,059.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,645.75 / $1,936.18 / $2,231.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.56 / $1,433.12 / $2,039.44