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Arkansas rates for HCPCS 25695

Open treatment of lunate dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.91 / $1,277.00 / $3,804.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.29 / $755.91 / $889.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,727.30 / $6,727.30 / $8,072.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.12 / $845.16 / $894.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.96 / $2,607.96 / $2,607.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.13 / $980.86 / $1,181.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,650.00 / $4,064.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.65 / $826.01 / $1,267.65