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Minnesota rates for HCPCS 25676

Open treatment of distal radioulnar dislocation, acute or chronic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $2,630.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $13,803.84 / $32,359.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,344.23 / $5,495.41
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,238.72 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,230.27 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $4,786.30 / $9,332.54