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Minnesota rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $741.31 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $14,125.38 / $32,359.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,778.28 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,691.53 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,187.76 / $3,235.94
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,570.40 / $5,011.87
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,819.70 / $2,884.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,412.54 / $7,244.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,380.38 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $4,786.30 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,318.26 / $2,630.27