go back

Massachusetts rates for HCPCS 25695

Open Treatment Lunate Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.00 / $2,663.12 / $3,693.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.29 / $642.80 / $1,003.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.35 / $3,715.00 / $13,940.55
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.90 / $1,119.47 / $4,637.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.92 / $1,066.33 / $1,827.14
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.58 / $1,393.68 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.51 / $894.58 / $1,226.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.36 / $1,586.63 / $2,093.02
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.55 / $2,941.55 / $2,941.55
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,997.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.95 / $1,181.18 / $4,637.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.27 / $1,045.77 / $2,166.23