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Georgia rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $5,370.32 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,584.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,754.23 / $6,025.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,122.02 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,258.93 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,148.15 / $1,862.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,096.48 / $4,073.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,288.25 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,168.69 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $977.24 / $1,659.59