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Washington, DC 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
$857.85 / $2,464.00 / $4,975.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$411.92 / $411.92 / $437.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.33 / $567.14 / $1,354.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.42 / $597.11 / $2,368.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.88 / $822.01 / $1,542.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.79 / $1,293.41 / $1,293.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.00 / $762.00 / $6,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.85 / $731.43 / $1,565.97