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Alaska rates for HCPCS 25695

Open treatment of lunate dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.00 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.82 / $3,087.23 / $3,087.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,553.32 / $2,069.55 / $2,743.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.89 / $3,087.23 / $4,322.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,580.13 / $1,896.15 / $3,849.38
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,275.00 / $3,147.60 / $3,874.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.89 / $3,087.23 / $4,322.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.65 / $3,111.00 / $4,008.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,649.04 / $2,497.71 / $3,642.41