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New York rates for HCPCS 25676

Open treatment of distal radioulnar dislocation, acute or chronic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $3,715.35 / $9,120.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $11,481.54 / $18,620.87
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,698.24 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $724.44 / $1,819.70
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $4,365.16 / $11,220.18
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $758.58 / $2,884.03