go back

Missouri 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
$1,513.56 / $3,235.94 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $562.34 / $1,698.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $562.34 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $588.84 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $645.65 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $758.58 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $691.83 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $691.83 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $602.56 / $977.24