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Ohio rates for HCPCS 25676

Open treatment of distal radioulnar dislocation, acute or chronic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.46 / $3,265.00 / $10,635.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,670.00 / $5,544.00 / $30,285.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.41 / $723.10 / $894.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.76 / $722.76 / $722.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,233.00 / $4,223.00 / $6,522.00