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North Carolina rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.96 / $5,724.00 / $8,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.96 / $754.03 / $1,347.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.43 / $1,159.52 / $1,951.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $6,025.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.00 / $1,028.08 / $1,845.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.96 / $991.00 / $1,461.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.00 / $911.00 / $958.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.20 / $1,070.49 / $1,229.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,661.00 / $7,659.00 / $10,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.38 / $876.93 / $1,986.04
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,775.88 / $19,913.50 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,359.28 / $5,359.28 / $6,388.88