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Wyoming 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
$410.40 / $434.15 / $456.87
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$465.43 / $465.43 / $850.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.45 / $578.16 / $3,060.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,373.60 / $1,373.60 / $1,373.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.00 / $1,071.00 / $1,620.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.65 / $1,047.74 / $1,562.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.00 / $788.00 / $3,328.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.08 / $1,096.45 / $2,035.80