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Massachusetts rates for HCPCS 25690

Closed Tx Lunate Dislocation W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.00 / $2,094.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.96 / $483.36 / $784.68
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.10 / $2,826.85 / $8,498.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.32 / $847.24 / $3,644.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.54 / $996.26 / $1,349.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.47 / $795.95 / $1,417.72
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.38 / $1,107.80 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.37 / $706.65 / $974.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.33 / $1,245.59 / $1,643.15
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,592.00 / $12,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.23 / $910.93 / $3,644.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $8,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.25 / $765.03 / $1,496.80