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Pennsylvania rates for HCPCS 25609

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

Facilitymedian $7,079 · 10th–90th $1,413$19,9530%5%10th90th$7,079$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$1,412.54 / $7,079.46 / $19,952.62
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$37,153.52 / $37,153.52 / $37,153.52
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $4,570.88 / $50,118.72
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $14,125.38 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $16,595.87 / $28,840.32
Highmark BCBS
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$18,620.87 / $31,622.78 / $44,668.36
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$27,542.29 / $27,542.29 / $27,542.29
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,890.45 / $24,547.09
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $4,365.16 / $19,054.61
Martin's Point
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$37,153.52 / $37,153.52 / $37,153.52
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $11,748.98 / $14,791.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $933.25 / $1,023.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $6,309.57 / $23,442.29