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Vermont rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $870.96 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,000.00 / $1,659.59
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,023.29 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,023.29 / $3,019.95