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Arizona rates for HCPCS 25676

Open treatment of distal radioulnar dislocation, acute or chronic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,090.30 / $6,760.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,778.28 / $2,691.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $851.14 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,630.78 / $6,025.60