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New York rates for HCPCS 26725

Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each

Facilitymedian $3,162 · 10th–90th $447$7,7620%10%10th90th$3,162Professionalmedian $398 · 10th–90th $288$9770%20%10th90th$398$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $2,951.21 / $8,511.38
Aetna
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $398.11 / $912.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $354.81 / $831.76
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $524.81 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $489.78 / $1,380.38
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $398.11 / $1,096.48
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $645.65 / $912.01
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Excellus BCBS
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $446.68 / $741.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $398.11 / $812.83
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $478.63 / $912.01
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $457.09 / $954.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $2,398.83 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $446.68 / $1,318.26
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $380.19 / $1,122.02
Univera
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$204.17 / $218.78 / $295.12
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $426.58 / $851.14