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California rates for HCPCS 25676

Open treatment of distal radioulnar dislocation, acute or chronic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,456.54 / $16,982.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $6,165.95 / $13,803.84
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $3,388.44 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $6,918.31 / $6,918.31
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $707.95 / $954.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $741.31 / $1,348.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $19,952.62 / $28,840.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $794.33 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $7,585.78 / $15,135.61