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Florida rates for HCPCS 25690

Closed treatment of lunate dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.23 / $3,258.00 / $10,802.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.22 / $478.13 / $656.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $835.58 / $994.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.38 / $616.47 / $964.15
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.00 / $4,823.00 / $9,635.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.31 / $435.99 / $554.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $382.94 / $649.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.00 / $3,611.00 / $8,105.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.68 / $498.14 / $913.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.67 / $391.67 / $432.94