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Kentucky rates for HCPCS 25690

Closed treatment of lunate dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.80 / $787.00 / $3,740.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.80 / $483.36 / $569.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.00 / $2,067.00 / $2,978.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.48 / $443.73 / $668.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.63 / $642.98 / $741.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.20 / $642.98 / $918.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.80 / $570.63 / $570.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.18 / $630.99 / $941.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $597.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $1,450.00 / $5,301.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.48 / $581.04 / $902.60