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Georgia rates for HCPCS 25695

Open treatment of lunate dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.30 / $4,338.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.90 / $688.07 / $1,333.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.16 / $640.16 / $640.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.37 / $5,435.54 / $12,227.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.35 / $923.37 / $1,657.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.11 / $1,344.65 / $1,829.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.86 / $726.86 / $4,830.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.63 / $997.26 / $1,625.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.19 / $1,071.96 / $1,582.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.98 / $1,015.84 / $1,149.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.00 / $4,826.00 / $7,889.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.66 / $868.04 / $1,447.50