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Idaho rates for HCPCS 25600

Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $831.76 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $467.74 / $851.14
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$288.40 / $371.54 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $323.59 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $660.69 / $707.95
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$831.76 / $977.24 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$512.86 / $588.84 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $446.68 / $575.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $478.63 / $812.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $660.69 / $831.76
Moda Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,174.90
Moda Health
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$288.40 / $371.54 / $758.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $165.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $549.54 / $741.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $645.65 / $724.44
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $380.19 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $1,819.70 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $457.09 / $660.69