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Vermont 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
Professional
Modifier
Low / Median / High Price
$1,129.61 / $1,168.71 / $1,168.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.80 / $1,957.71 / $3,421.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.35 / $1,639.68 / $2,137.19
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.66 / $1,419.08 / $2,137.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.32 / $1,342.35 / $3,902.30