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Ohio rates for HCPCS 25565

Closed treatment of radial and ulnar shaft fractures; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.26 / $2,532.00 / $8,956.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$344.42 / $512.16 / $1,236.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.00 / $2,443.00 / $8,800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.02 / $537.78 / $714.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.14 / $1,001.44 / $3,078.24
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$560.79 / $560.79 / $560.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $965.00 / $2,914.00