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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 / $3,683.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.18 / $556.26 / $566.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.80 / $1,878.12 / $2,945.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.70 / $678.61 / $813.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.85 / $207.85 / $207.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.17 / $619.20 / $768.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.12 / $642.20 / $2,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.25 / $555.28 / $3,999.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.96 / $513.12 / $736.17