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New York rates for HCPCS 25530

Closed treatment of ulnar shaft fracture; without manipulation

Facilitymedian $3,020 · 10th–90th $347$7,4130%10%10th90th$3,020Professionalmedian $302 · 10th–90th $224$7080%20%10th90th$302$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $2,754.23 / $7,413.10
Aetna
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $288.40 / $645.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $275.42 / $660.69
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $4,073.80
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $426.58 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $389.05 / $1,071.52
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $338.84 / $1,000.00
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $489.78 / $691.83
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Excellus BCBS
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $363.08 / $588.84
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $363.08 / $707.95
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $398.11 / $616.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $2,398.83 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $346.74 / $1,071.52
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $302.00 / $933.25
Univera
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$162.18 / $173.78 / $239.88
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $331.13 / $741.31