go back

Tennessee 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
$1,256.00 / $3,329.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.80 / $978.18 / $1,552.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,830.00 / $5,486.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.19 / $1,250.27 / $1,965.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.08 / $1,346.28 / $1,980.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,599.00 / $26,542.00 / $27,124.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,951.76 / $7,090.40 / $8,280.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.75 / $1,170.15 / $2,002.37