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Arizona rates for HCPCS 25690

Closed treatment of lunate dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.58 / $469.23 / $2,564.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,651.20 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.07 / $602.37 / $752.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.74 / $571.50 / $924.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.47 / $632.13 / $3,134.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.97 / $507.35 / $3,716.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,578.00 / $2,522.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.92 / $486.00 / $926.52