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Texas rates for HCPCS 25530

Closed Tx Ulnar Shaft Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.99 / $2,020.00 / $6,762.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$156.41 / $185.29 / $299.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.17 / $258.67 / $449.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.80 / $167.03 / $666.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.54 / $291.81 / $409.55
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.00 / $183.00 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.44 / $423.44 / $423.44
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$296.41 / $296.41 / $296.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.12 / $327.68 / $505.73
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $1,340.88
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$824.44 / $938.62 / $938.62
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,851.68 / $2,044.16 / $2,390.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.90 / $299.74 / $469.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.87 / $385.04 / $488.47
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.04 / $456.95 / $975.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.45 / $300.52 / $491.80
Providence
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$296.41 / $296.41 / $509.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.35 / $345.22 / $526.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $950.00 / $2,405.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.54 / $271.39 / $422.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.55 / $262.43 / $369.91