go back

New Hampshire 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
$100.00 / $2,331.21 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.04 / $1,072.94 / $1,470.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.43 / $1,624.66 / $2,421.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.54 / $2,862.32 / $2,962.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.54 / $1,815.45 / $2,835.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.60 / $1,779.41 / $3,347.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.60 / $1,523.82 / $2,754.06
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.77 / $830.25 / $1,056.68