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Indiana rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $4,897.79 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $758.58 / $1,737.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $13,803.84 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $954.99 / $1,513.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $741.31 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,174.90 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $891.25 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $6,025.60 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $794.33 / $1,380.38