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Delaware rates for HCPCS 25690

Closed treatment of lunate dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.57 / $498.65 / $498.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.73 / $919.73 / $919.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.29 / $521.42 / $868.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.00 / $1,320.00 / $1,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.75 / $500.22 / $1,109.29