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Missouri rates for HCPCS 25690

Closed treatment of lunate dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.00 / $2,832.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.41 / $503.30 / $787.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.00 / $557.04 / $842.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.91 / $635.19 / $1,048.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.27 / $754.95 / $4,754.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.04 / $664.98 / $3,716.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $2,306.00 / $3,074.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.73 / $611.41 / $1,031.81