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Wyoming rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.83 / $747.01 / $944.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,116.00 / $6,116.00 / $6,116.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.00 / $1,716.00 / $2,596.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.44 / $1,493.66 / $2,069.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.00 / $2,607.00 / $10,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.24 / $1,478.03 / $2,473.89