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Georgia rates for HCPCS 25609

Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments

Facilitymedian $5,370 · 10th–90th $1,698$11,7490%5%10%10th90th$5,370Professionalmedian $1,380 · 10th–90th $1,000$2,8180%10%20%10th90th$1,380$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $5,370.32 / $10,232.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $4,677.35 / $12,589.25
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,445.44 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $4,265.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,380.38 / $2,818.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
22
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $3,162.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $23,442.29 / $23,442.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $7,079.46 / $17,378.01