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Missouri rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $3,715.35 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $776.25 / $2,187.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $870.96 / $1,380.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $831.76 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $977.24 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,258.93 / $21,379.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,000.00 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,818.38 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $870.96 / $1,380.38