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North Carolina rates for HCPCS 25690

Closed Tx Lunate Dislocation W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.93 / $689.00 / $5,449.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.17 / $507.99 / $907.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.50 / $930.58 / $1,274.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.75 / $395.75 / $1,438.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.06 / $668.11 / $1,198.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.17 / $617.00 / $945.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $585.00 / $652.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.60 / $761.98 / $834.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,733.00 / $6,543.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.64 / $581.10 / $1,391.94
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,880.68 / $4,754.80 / $12,000.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,644.24 / $3,644.24 / $4,336.95