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Missouri rates for HCPCS 25530

Closed treatment of ulnar shaft fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.44 / $2,598.00 / $7,365.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$157.51 / $171.47 / $222.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.16 / $259.82 / $601.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.05 / $321.13 / $321.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.97 / $268.00 / $392.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.08 / $330.22 / $542.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.01 / $339.39 / $724.26
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$824.44 / $824.44 / $824.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.92 / $395.91 / $2,044.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.75 / $324.82 / $556.28