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Alaska rates for HCPCS 25680

Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.00 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.59 / $2,562.58 / $2,562.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.47 / $1,687.33 / $2,316.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.59 / $2,562.58 / $3,587.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.33 / $1,605.99 / $3,260.35
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,866.25 / $2,568.69 / $3,274.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.88 / $2,562.58 / $3,587.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.13 / $2,388.80 / $3,418.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.86 / $2,362.26 / $2,969.69