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Massachusetts rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $2,733.00 / $4,712.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.60 / $756.49 / $1,943.56
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.64 / $3,715.00 / $11,217.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.86 / $1,262.54 / $5,359.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.87 / $1,217.74 / $2,117.65
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.18 / $1,607.56 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.80 / $1,033.02 / $1,414.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.29 / $1,834.29 / $2,419.73
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.40 / $569.40 / $569.40
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,997.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.74 / $1,363.75 / $5,359.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.27 / $1,159.19 / $2,453.82