go back

Delaware rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,736.00 / $4,736.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.67 / $737.11 / $739.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,851.90 / $3,851.90 / $3,851.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.78 / $767.46 / $1,339.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $1,485.00 / $1,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.26 / $800.23 / $1,679.74