go back

Vermont rates for HCPCS 25690

Closed Tx Lunate Dislocation W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.26 / $565.26 / $585.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.18 / $812.39 / $1,794.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.17 / $790.88 / $1,092.47
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.40 / $723.84 / $1,092.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.75 / $686.17 / $1,994.74