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Texas rates for HCPCS 25565

Closed Tx Radial&Ulnar Shaft Fractures W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.00 / $2,211.00 / $6,000.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$296.43 / $363.98 / $560.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.42 / $2,141.52 / $4,350.80
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.49 / $1,550.84 / $2,068.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.47 / $586.25 / $586.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.14 / $801.14 / $801.14
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$560.79 / $560.79 / $560.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.16 / $11,500.00 / $16,394.00
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,534.41 / $1,700.44 / $1,700.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.49 / $615.75 / $955.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.49 / $617.99 / $974.29
Providence
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$560.79 / $560.79 / $1,003.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $949.00 / $2,405.00