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New York rates for HCPCS 25675

Closed treatment of distal radioulnar dislocation with manipulation

Facilitymedian $347 · 10th–90th $275$5010%20%40%10th90th$347$500.0$1.0K

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
Cigna
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
Excellus BCBS
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Univera
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$275.42 / $288.40 / $398.11