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Hawaii 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
$533.26 / $1,878.40 / $4,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.55 / $608.97 / $2,207.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.92 / $716.83 / $860.19
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.41 / $806.73 / $3,857.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.55 / $672.23 / $752.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $1,106.00 / $1,106.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.92 / $716.83 / $884.61
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.16 / $758.58 / $5,309.00