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Ohio 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
$465.00 / $2,057.69 / $7,085.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$377.59 / $561.47 / $1,298.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.55 / $578.96 / $1,111.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.69 / $527.39 / $596.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.00 / $2,792.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.36 / $576.02 / $909.47
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.42 / $590.90 / $624.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.42 / $590.90 / $784.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.78 / $728.99 / $127,498.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.58 / $724.29 / $1,021.96
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.36 / $868.94 / $2,172.10
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$615.99 / $615.99 / $615.99
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.04 / $740.08 / $1,009.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.67 / $366.18 / $629.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $1,940.00 / $4,067.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.64 / $661.71 / $1,105.84