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Washington 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
$710.00 / $2,909.39 / $9,168.10
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$532.50 / $840.00 / $1,085.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.45 / $725.63 / $1,638.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.90 / $785.78 / $1,290.91
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,613.81 / $4,554.63 / $11,500.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$939.82 / $1,688.06 / $1,688.06
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.90 / $1,231.18 / $4,604.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $870.49 / $1,985.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.41 / $999.45 / $1,683.30
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.16 / $1,082.52 / $1,509.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.61 / $1,054.86 / $1,499.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.76 / $304.39 / $1,057.56
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.01 / $1,037.16 / $1,123.58
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.44 / $735.22 / $1,613.81
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.39 / $1,189.29 / $1,435.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,953.48 / $4,552.03 / $8,712.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.83 / $1,040.99 / $1,403.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.00 / $938.00 / $4,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.88 / $900.75 / $1,572.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.28 / $577.78 / $615.66