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North Dakota rates for HCPCS 25690

Closed treatment of lunate dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.07 / $484.07 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.94 / $484.07 / $505.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.65 / $1,109.56 / $1,301.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.62 / $1,243.91 / $1,656.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.07 / $620.25 / $860.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.25 / $888.03 / $1,256.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.25 / $888.03 / $1,111.55