go back

Texas rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $3,630.78 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $776.25 / $1,318.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $8,912.51 / $15,848.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $870.96 / $1,148.15
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $676.08 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $1,548.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $45,708.82 / $45,708.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $6,456.54 / $6,456.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,023.29 / $3,890.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $933.25 / $1,258.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $95.50 / $630.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $2,511.89 / $2,570.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $954.99 / $1,584.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $977.24 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,073.80 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $794.33 / $1,202.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $724.44 / $724.44