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Mississippi rates for HCPCS 25690

Closed Tx Lunate Dislocation W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.18 / $950.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.57 / $486.40 / $1,066.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.90 / $926.90 / $926.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.00 / $806.00 / $806.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.66 / $867.23 / $958.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.49 / $739.93 / $944.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.00 / $1,354.00 / $4,939.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.46 / $530.51 / $1,025.66