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Oklahoma rates for HCPCS 25690

Closed Tx Lunate Dislocation W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,683.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.80 / $515.79 / $525.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.21 / $1,878.12 / $2,967.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.30 / $629.66 / $650.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,351.42 / $1,351.42 / $1,351.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.85 / $611.58 / $772.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $672.02 / $3,910.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.86 / $530.51 / $3,716.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,990.00 / $4,012.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.76 / $504.61 / $748.28