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Idaho rates for HCPCS 25574

Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $5,519.00 / $11,010.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,687.16 / $5,687.16 / $5,703.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.03 / $1,169.11 / $1,597.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,896.50 / $17,361.59 / $22,059.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00