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Arizona rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,936.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.69 / $714.45 / $1,482.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.98 / $885.70 / $1,107.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.65 / $856.94 / $1,467.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.50 / $944.25 / $3,790.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.91 / $799.99 / $5,464.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.28 / $738.78 / $1,462.75