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West Virginia 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
$940.95 / $1,400.00 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.95 / $1,003.96 / $1,427.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.05 / $1,135.08 / $1,236.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.97 / $1,099.27 / $1,099.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.54 / $1,089.54 / $1,089.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.18 / $1,451.50 / $2,731.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.49 / $1,193.56 / $1,705.52