Wrist dislocation treatment

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC CLSD TX DISTAL RADIOULNAR DISLOC W/ MANIP

Payers reporting CPT 25675

Payer pricing summary

Low

$235

Average

$843

Median

$667

High

$4.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +36 other terms	559	$297	$750	$1.3k	176%	1–10	$1 – $17.9k
2	Humana fee schedule · outpatient · +31 other terms	386	$249	$464	$872	188%	1–10	$1 – $12.8k
3	Aetna fee schedule · outpatient · +33 other terms	491	$305	$945	$1.8k	195%	—	$1 – $21.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +34 other terms	394	$454	$982	$1.7k	171%	—	$1 – $18.0k
5	Cigna case rate · outpatient · +27 other terms	295	$3.0k	$4.6k	$6.2k	135%	—	$1 – $40.7k
6	Molina fee schedule · outpatient · +27 other terms	224	$252	$230	$201	87%	—	$1 – $1.7k
7	WellCare fee schedule · outpatient · +21 other terms	165	$256	$348	$526	151%	—	$90 – $4.3k
8	Anthem fee schedule · outpatient · +24 other terms	141	$419	$860	$1.1k	123%	—	$51 – $6.3k
9	Oscar case rate · outpatient · +22 other terms	137	$2.6k	$2.7k	$715	27%	—	$375 – $7.5k
10	Kaiser fee schedule · outpatient · +23 other terms	101	$420	$566	$617	109%	—	$12 – $4.3k
11	Ambetter facility · fee schedule · outpatient · +18 other terms	90	$497	$783	$1.7k	217%	—	$222 – $14.6k
12	MultiPlan fee schedule · outpatient · +23 other terms	80	$417	$491	$500	102%	—	$225 – $7.3k
13	Aetna Better Health fee schedule · outpatient · +14 other terms	74	$108	$152	$94	62%	—	$94 – $400
14	Caresource fee schedule · outpatient · +15 other terms	65	$265	$479	$649	135%	—	$1 – $4.3k
15	Optum fee schedule · outpatient · +25 other terms	62	$224	$289	$152	53%	—	$97 – $911
16	Devoted fee schedule · outpatient · +15 other terms	60	$259	$272	$64	24%	—	$225 – $515
17	Tricare fee schedule · outpatient · +19 other terms	59	$247	$571	$1.2k	204%	—	$220 – $5.1k
18	First Health fee schedule · outpatient · +22 other terms	39	$258	$997	$2.1k	214%	—	$85 – $7.2k
19	Healthcare Highways case rate · outpatient · +3 other terms	39	$5.8k	$6.6k	$5.1k	77%	—	$2.1k – $14.6k
20	Superior Healthplan case rate · outpatient · +6 other terms	38	$948	$934	$81	9%	—	$360 – $948
21	Clover fee schedule · outpatient · +11 other terms	34	$268	$744	$1.3k	170%	—	$223 – $4.4k
22	Amerihealth Caritas case rate · outpatient · +10 other terms	33	$370	$1.7k	$1.4k	79%	—	$350 – $3.3k
23	Cigna Healthspring fee schedule · outpatient · +8 other terms	32	$228	$183	$76	41%	—	$90 – $263
24	Medica fee schedule · outpatient · +22 other terms	31	$686	$651	$363	56%	—	$188 – $1.9k
25	Medicare fee schedule · outpatient · +15 other terms	31	$420	$717	$1.1k	151%	—	$201 – $4.1k

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