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Arizona 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
$1,582.00 / $2,897.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.78 / $495.88 / $2,765.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.79 / $2,211.19 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.54 / $649.76 / $812.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.85 / $601.36 / $994.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.90 / $652.48 / $1,944.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.20 / $528.57 / $3,999.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.94 / $498.63 / $997.92