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Wyoming 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
Professional
Modifier
Low / Median / High Price
$334.38 / $359.80 / $453.25
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$250.79 / $262.20 / $339.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.00 / $252.00 / $252.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.00 / $679.00 / $1,028.00
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$975.00 / $1,474.50 / $1,542.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.05 / $658.14 / $1,002.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.17 / $662.40 / $1,029.63