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Indiana 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
$831.76 / $4,897.79 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $537.03 / $1,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $4,466.84 / $8,317.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $501.19 / $831.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $537.03 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $616.60 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $2,137.96 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $512.86 / $912.01