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Connecticut rates for HCPCS 25695

Open treatment of lunate dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,411.00 / $5,244.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.29 / $664.31 / $1,608.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $7,483.00 / $19,160.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.48 / $1,146.51 / $1,568.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.00 / $9,619.46 / $9,619.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.33 / $1,141.97 / $1,621.50
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $4,588.00 / $4,682.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.54 / $905.46 / $1,133.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,565.00 / $6,647.00 / $9,973.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.49 / $1,091.33 / $1,899.34