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Texas rates for HCPCS 25676

Open treatment of distal radioulnar dislocation, acute or chronic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.19 / $2,759.00 / $7,542.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,278.00 / $9,092.56 / $18,185.13
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $579.01 / $586.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.76 / $722.76 / $722.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,383.92 / $16,394.00 / $19,913.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.00 / $785.90 / $1,204.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.84 / $787.61 / $1,274.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,326.00 / $7,600.00