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Tennessee 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
$750.00 / $2,311.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.37 / $523.78 / $847.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.00 / $1,491.00 / $2,257.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.83 / $650.51 / $1,041.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.81 / $687.79 / $1,063.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.48 / $2,791.53 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,929.60 / $3,999.76 / $4,680.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.02 / $561.66 / $1,039.08