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Oklahoma 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
$1,392.00 / $4,856.00 / $14,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.07 / $1,003.14 / $1,237.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,873.50 / $12,508.22 / $19,762.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.95 / $1,231.56 / $1,471.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,709.38 / $7,709.38 / $7,709.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.11 / $1,260.43 / $1,602.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.14 / $1,434.49 / $14,063.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.44 / $1,094.08 / $7,090.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,074.00 / $14,139.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.70 / $1,024.47 / $1,473.05