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Rhode Island rates for HCPCS 25690

Closed Tx Lunate Dislocation W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.68 / $612.10 / $707.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.56 / $607.00 / $919.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.28 / $757.34 / $1,005.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,812.00 / $4,049.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.06 / $545.55 / $1,042.99