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Minnesota rates for HCPCS 25320

Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes synovectomy, capsulotomy and open reduction) for carpal instability

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.29 / $993.29 / $4,828.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,539.70 / $13,083.84 / $25,424.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,425.31 / $3,441.17 / $8,278.19
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$112.33 / $112.33 / $112.33
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,204.83 / $3,146.05 / $6,518.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.59 / $1,706.27 / $5,331.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$257.26 / $257.26 / $257.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $6,787.00 / $11,165.00