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New York 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
$660.68 / $3,832.00 / $9,038.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.85 / $557.33 / $1,032.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $3,373.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.90 / $527.40 / $1,165.33
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.50 / $1,716.00 / $6,213.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.50 / $749.50 / $749.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.63 / $615.63 / $615.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.88 / $749.55 / $1,980.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $586.74 / $1,450.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.11 / $818.41 / $1,244.14
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.33 / $509.33 / $509.33
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.51 / $648.07 / $1,143.21
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $615.63
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.80 / $754.03 / $1,792.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,826.00 / $4,851.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.61 / $654.37 / $1,635.56
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.07 / $648.07 / $2,024.75
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.13 / $709.80 / $1,369.92