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Wyoming rates for HCPCS 25680

Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.79 / $550.73 / $690.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.00 / $252.00 / $252.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.00 / $1,254.00 / $1,897.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.63 / $947.45 / $1,523.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.39 / $1,052.45 / $1,635.93