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Vermont 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
$707.95 / $1,659.59 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $741.31 / $1,698.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $891.25 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $851.14 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $741.31 / $1,096.48
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $758.58 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $758.58 / $1,288.25