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Oklahoma 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
$537.98 / $1,664.15 / $7,283.21
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$403.49 / $403.49 / $425.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.13 / $567.83 / $707.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.80 / $1,883.02 / $2,945.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.08 / $658.37 / $770.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,351.42 / $1,351.42 / $1,351.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.91 / $704.01 / $851.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.84 / $703.13 / $2,421.00
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
$477.94 / $654.58 / $4,098.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,325.00 / $2,637.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.82 / $562.28 / $825.34