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New Jersey rates for HCPCS 25690

Closed treatment of lunate dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.97 / $4,540.00 / $10,202.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.24 / $483.36 / $805.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.47 / $672.74 / $1,453.87
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.25 / $696.71 / $808.51
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,520.85 / $3,890.91 / $8,437.42
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.79 / $586.34 / $1,189.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,705.00 / $5,265.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.99 / $643.51 / $1,424.65