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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
$1,548.82 / $9,549.93 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $660.69 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,698.24 / $2,290.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $691.83 / $3,548.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,862.09 / $2,818.38
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,344.23 / $3,019.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $691.83 / $2,818.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $707.95 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $2,089.30 / $2,951.21