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New York rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.01 / $4,392.00 / $10,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.10 / $768.79 / $1,611.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.32 / $235.32 / $235.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,248.00 / $5,196.00 / $11,909.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.86 / $824.65 / $1,768.56
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.48 / $1,990.00 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.48 / $1,040.48 / $1,040.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.32 / $840.32 / $840.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.13 / $1,106.83 / $2,778.34
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,173.00 / $1,980.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.98 / $1,150.00 / $1,699.15
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.56 / $695.56 / $695.56
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.99 / $886.75 / $1,564.25
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $840.32
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.93 / $1,106.83 / $2,568.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.61 / $946.90 / $2,358.76
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.75 / $886.75 / $3,359.31
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.91 / $922.22 / $1,874.45