go back

Maine 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
$346.74 / $346.74 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $467.74 / $851.14
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$151.36 / $501.19 / $524.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $501.19 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$501.19 / $758.58 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $467.74 / $776.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $537.03 / $1,023.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $446.68 / $758.58
Martin's Point
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$288.40 / $380.19 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $426.58 / $758.58