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Oklahoma 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
$1,000.00 / $2,630.27 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $549.54 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,737.80 / $2,818.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $630.96 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $630.96 / $776.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $645.65 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $562.34 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $616.60 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $489.78 / $707.95