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Arizona rates for HCPCS 25695

Open treatment of lunate dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.25 / $2,897.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.72 / $617.45 / $1,445.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,211.19 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.52 / $766.30 / $957.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.70 / $743.77 / $1,245.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.32 / $819.06 / $3,790.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.40 / $692.74 / $4,729.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.21 / $644.00 / $1,227.09