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Indiana rates for HCPCS 25565

Closed Tx Radial&Ulnar Shaft Fractures W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.22 / $821.12 / $4,846.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$330.56 / $369.92 / $612.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,943.00 / $5,126.00 / $8,240.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.67 / $602.10 / $903.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.45 / $1,123.45 / $1,331.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00