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Minnesota rates for HCPCS 25690

Closed Tx Lunate Dislocation W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.78 / $501.78 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.07 / $510.74 / $784.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.41 / $3,046.07 / $5,941.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.89 / $1,415.16 / $1,798.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.23 / $1,742.68 / $4,192.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.14 / $1,468.94 / $2,181.61
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.57 / $1,593.23 / $3,300.99
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.87 / $1,313.33 / $2,000.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.78 / $860.53 / $2,296.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.41 / $935.18 / $1,936.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.00 / $3,500.00 / $6,361.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.84 / $934.71 / $1,893.85