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Indiana rates for HCPCS 25685

Open Tx Trans-Scaphoperilunar Fracture Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.47 / $2,318.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.67 / $717.31 / $927.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.00 / $6,474.00 / $13,758.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.88 / $946.00 / $1,305.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.31 / $937.87 / $1,406.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.91 / $837.39 / $1,205.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,705.12 / $4,705.12 / $5,577.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.00 / $939.48 / $1,514.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.49 / $799.02 / $1,385.24