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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
$796.45 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.71 / $393.48 / $789.81
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,138.73 / $1,138.73 / $1,161.50
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$258.43 / $339.94 / $520.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.78 / $154.78 / $155.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.67 / $495.82 / $588.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.62 / $520.12 / $796.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.33 / $609.65 / $772.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $152.00 / $617.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.11 / $563.48 / $714.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.21 / $678.50 / $772.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.44 / $490.79 / $697.22