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Idaho rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.11 / $1,027.50 / $1,498.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,214.76 / $4,214.76 / $4,226.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.92 / $1,112.00 / $1,285.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.23 / $1,321.08 / $1,738.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.67 / $1,315.28 / $1,719.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,028.55 / $1,293.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,138.70 / $17,361.59 / $22,059.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.45 / $1,492.29 / $1,719.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.14 / $1,103.44 / $1,570.28