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North Carolina 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
$1,348.96 / $3,548.13 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,000.00 / $2,344.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,905.46 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,412.54 / $2,344.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $2,187.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,288.25 / $1,949.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,513.56 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $14,791.08 / $22,908.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,096.48 / $1,995.26
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $26,915.35 / $42,657.95
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,918.31 / $6,918.31 / $8,317.64