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Oklahoma rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,467.37 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $741.31 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $11,481.54 / $19,054.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $891.25 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,202.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,258.93 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $831.76 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,311.31 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,023.29