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Delaware rates for HCPCS 25695

Open treatment of lunate dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,949.00 / $3,949.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.33 / $639.66 / $639.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,851.90 / $3,851.90 / $3,851.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.33 / $663.87 / $1,159.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $1,485.00 / $1,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.86 / $700.24 / $1,448.82