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Massachusetts 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
$657.62 / $1,803.83 / $4,311.38
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$357.40 / $382.34 / $1,472.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.53 / $605.54 / $1,408.49
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.78 / $2,408.00 / $7,161.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,874.67 / $1,874.67 / $1,874.67
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.03 / $1,036.02 / $4,012.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.51 / $807.64 / $1,441.80
BCBS
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$439.96 / $565.35 / $932.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.20 / $1,033.90 / $1,456.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.51 / $923.18 / $1,560.80
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.92 / $1,146.02 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.46 / $778.23 / $1,073.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.49 / $1,300.59 / $1,723.02
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.25 / $586.98 / $1,962.28
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.17 / $808.48 / $1,318.20
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $2,510.00 / $26,542.00
Mass General Brigham
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,874.67 / $1,874.67 / $1,874.67
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.14 / $1,197.23 / $4,012.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $2,408.00 / $5,683.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.39 / $879.62 / $1,788.37