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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
$349.77 / $349.77 / $349.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.12 / $347.29 / $564.73
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$202.91 / $266.56 / $316.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.18 / $435.06 / $608.90
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$504.27 / $652.59 / $913.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.98 / $505.95 / $729.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.80 / $510.15 / $787.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.77 / $349.77 / $349.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.37 / $421.62 / $615.23
Martin's Point
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$202.91 / $247.37 / $316.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.81 / $448.85 / $580.41