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Kansas rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $4,570.88 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $776.25 / $1,584.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,380.38 / $2,187.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,479.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,174.90 / $6,456.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $933.25 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $3,630.78 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $870.96 / $1,230.27