go back

Arizona 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
$843.54 / $2,260.00 / $6,305.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.06 / $567.14 / $2,207.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.48 / $519.96 / $1,302.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.17 / $2,404.64 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.48 / $663.26 / $820.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.38 / $650.67 / $1,027.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.48 / $630.59 / $1,556.00
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,688.06 / $1,688.06 / $1,688.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.70 / $660.88 / $4,098.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.00 / $1,958.00 / $3,268.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.36 / $569.20 / $1,090.60