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Virginia 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
$349.11 / $1,938.00 / $8,294.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$261.83 / $275.62 / $608.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.36 / $367.49 / $653.16
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,038.72 / $1,038.72 / $1,038.72
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$200.57 / $261.83 / $326.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.05 / $400.07 / $661.43
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$459.08 / $600.10 / $992.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.92 / $406.17 / $822.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.70 / $560.70 / $560.70
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$392.49 / $392.49 / $392.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.08 / $388.50 / $750.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.30 / $442.97 / $523.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.85 / $403.15 / $622.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.00 / $435.00 / $658.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.64 / $392.72 / $831.79
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.25 / $412.27 / $870.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.77 / $373.31 / $629.52