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Washington, DC rates for HCPCS 25695

Open Treatment Lunate Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $4,004.00 / $4,601.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.39 / $670.39 / $670.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.83 / $727.12 / $6,458.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.40 / $965.14 / $1,784.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.89 / $1,481.72 / $1,481.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.66 / $839.63 / $1,793.96