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Kansas rates for HCPCS 25695

Open treatment of lunate dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.90 / $4,387.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.50 / $646.20 / $1,008.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$984.20 / $1,450.76 / $3,055.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.72 / $986.73 / $986.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.00 / $442.00 / $442.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.48 / $846.83 / $1,264.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.20 / $1,008.09 / $5,565.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.44 / $797.76 / $4,729.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.00 / $3,096.00 / $5,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.89 / $750.06 / $1,063.16