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Texas rates for HCPCS 25609

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

Facilitymedian $4,677 · 10th–90th $1,122–$13,8040%5%10th90th$4,677$100.0$500.0$2.0K$10.0K$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
$1,096.48 / $4,365.16 / $12,302.69
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$10,964.78 / $16,595.87 / $23,442.29
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $9,120.11 / $18,197.01
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $7,762.47 / $13,182.57
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $5,623.41 / $5,623.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,778.28 / $1,778.28
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
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $42,657.95 / $42,657.95
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $2,818.38
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,737.80 / $7,244.36
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$10,964.78 / $16,595.87 / $23,442.29
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $9,549.93 / $9,549.93
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,348.96 / $2,290.87
Providence
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,041.74
Providence
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $7,244.36 / $14,791.08