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Wyoming 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
$968.57 / $969.29 / $1,224.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,116.00 / $6,116.00 / $6,116.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,855.00 / $2,226.00 / $3,367.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.22 / $1,938.58 / $2,684.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,934.00 / $6,934.00 / $26,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.51 / $1,919.64 / $3,307.21