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Arkansas rates for HCPCS 25605

Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.47 / $1,230.00 / $3,109.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$454.10 / $505.78 / $590.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.33 / $567.14 / $845.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.80 / $593.92 / $823.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,458.96 / $1,458.96 / $1,750.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.59 / $730.04 / $773.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.82 / $483.82 / $483.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.00 / $804.65 / $958.66
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.02 / $847.55 / $946.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $811.00 / $2,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.89 / $663.22 / $1,023.06