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North Carolina 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
$660.83 / $1,338.00 / $8,413.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,397.92 / $4,397.92 / $6,284.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $8,130.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.83 / $808.86 / $1,291.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,559.32 / $26,542.00 / $26,870.15