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Wyoming rates for HCPCS 25690

Closed Tx Lunate Dislocation W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.60 / $510.74 / $641.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,373.60 / $1,373.60 / $1,373.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.00 / $1,166.00 / $1,764.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.65 / $980.48 / $1,416.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $5,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.64 / $975.13 / $1,558.71