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Ohio 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
$678.51 / $3,265.00 / $10,635.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.18 / $520.07 / $1,021.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.00 / $2,012.00 / $3,943.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.58 / $501.80 / $839.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.49 / $612.82 / $813.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.75 / $714.95 / $127,498.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.46 / $685.96 / $964.16
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.63 / $615.63 / $615.63
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.80 / $693.62 / $970.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.16 / $367.62 / $629.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $965.00 / $2,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.77 / $600.38 / $1,035.66