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North Carolina rates for HCPCS 25575

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.70 / $7,993.00 / $21,776.24
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 / $8,077.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.54 / $1,216.22 / $1,764.50
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$153.02 / $196.84 / $279.87
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
$3,407.04 / $26,542.00 / $26,693.15
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$207.43 / $1,521.14 / $2,530.14