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Kansas rates for HCPCS 25690

Closed treatment of lunate dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $3,500.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.68 / $503.30 / $787.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.10 / $806.99 / $1,322.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.50 / $667.65 / $667.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $330.00 / $330.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.75 / $641.41 / $984.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.30 / $787.09 / $3,331.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.09 / $578.37 / $3,716.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $2,081.00 / $3,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.93 / $568.04 / $808.62