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Indiana rates for HCPCS 25690

Closed treatment of lunate dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.17 / $1,773.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.80 / $463.17 / $625.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,636.00 / $3,840.00 / $7,747.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.96 / $552.00 / $761.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.00 / $637.74 / $956.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.53 / $569.41 / $819.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.45 / $1,123.45 / $1,331.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.77 / $597.16 / $971.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,874.00 / $5,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.54 / $518.91 / $902.60