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Washington, DC rates for HCPCS 25690

Closed treatment of lunate dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $3,162.28 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $501.19 / $1,288.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,071.52 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $660.69 / $1,412.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,000.00 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $6,606.93 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $645.65 / $1,412.54