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Idaho rates for HCPCS 25690

Closed treatment of lunate dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.60 / $654.58 / $1,005.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.37 / $1,006.37 / $1,009.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.19 / $721.59 / $856.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.68 / $820.58 / $1,156.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.73 / $893.16 / $1,160.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $698.74 / $879.06
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.28 / $3,860.69 / $4,869.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.63 / $1,014.41 / $1,160.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $3,450.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.19 / $712.32 / $993.99