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Tennessee rates for HCPCS 25690

Closed treatment of lunate dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.38 / $2,133.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.41 / $495.40 / $786.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,108.00 / $2,805.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.96 / $624.48 / $988.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.22 / $660.77 / $1,003.73
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,880.68 / $4,754.80 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,644.24 / $3,716.08 / $4,336.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $2,297.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.46 / $530.51 / $985.80