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Michigan 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
$1,226.24 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.90 / $1,226.24 / $2,155.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,199.62 / $7,276.53 / $9,858.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.13 / $1,048.35 / $2,433.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.16 / $1,163.92 / $2,032.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.73 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.36 / $1,095.55 / $1,734.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $653.49 / $1,097.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.55 / $1,169.07 / $1,561.13