go back

Idaho 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
$1,621.81 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $630.96 / $1,071.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $281.84 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $676.08 / $912.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $776.25 / $1,348.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $954.99 / $1,288.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $524.81 / $741.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,000.00 / $1,148.15
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $489.78 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $1,819.70 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $741.31 / $1,047.13