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West Virginia 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
$423.00 / $2,123.46 / $5,233.92
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$375.85 / $395.67 / $621.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.13 / $597.89 / $1,110.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.79 / $608.90 / $663.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.02 / $589.70 / $589.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.98 / $879.98 / $879.98
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$615.99 / $615.99 / $615.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.58 / $777.28 / $1,504.79
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,596.10 / $4,173.10 / $6,760.11
Highmark BCBS
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$3,744.05 / $3,744.05 / $3,744.05
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.73 / $819.43 / $1,193.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.26 / $647.17 / $884.22