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New York rates for HCPCS 25609

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

Facilitymedian $6,607 · 10th–90th $1,698–$14,4540%5%10th90th$6,607$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $6,025.60 / $13,182.57
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$10,000.00 / $10,000.00 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $11,220.18 / $18,620.87
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,630.27 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,511.89 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,318.26 / $3,801.89
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $5,754.40 / $7,079.46
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $6,309.57 / $16,218.10
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,258.93 / $3,715.35