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Alaska rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.84 / $3,579.47 / $3,579.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800.41 / $2,406.59 / $3,171.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.06 / $3,579.47 / $5,011.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.78 / $2,192.13 / $4,450.22
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,646.25 / $3,649.84 / $4,478.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.06 / $3,579.47 / $5,011.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.06 / $3,607.40 / $4,659.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,921.52 / $3,369.24 / $4,235.62