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Washington 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
$1,261.75 / $7,682.00 / $33,327.62
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,317.10 / $20,273.81 / $38,781.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $870.49 / $11,220.93
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.52 / $1,438.67 / $9,840.37
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.72 / $1,295.78 / $1,381.54
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.53 / $942.33 / $9,317.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,669.79 / $20,262.22 / $38,781.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $5,547.00 / $19,271.00