go back

Iowa rates for HCPCS 25690

Closed Tx Lunate Dislocation W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.00 / $3,576.15 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.94 / $707.31 / $784.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.09 / $1,148.39 / $1,435.49
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.27 / $716.24 / $1,481.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.66 / $1,208.41 / $4,645.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.35 / $942.64 / $3,716.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.00 / $1,231.52 / $1,597.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.32 / $1,091.63 / $1,427.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.41 / $898.16 / $1,729.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $4,663.00 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.47 / $732.14 / $1,341.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.68 / $984.40 / $1,158.20