go back

Maryland rates for HCPCS 25695

Open treatment of lunate dislocation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.29 / $642.80 / $710.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.41 / $690.83 / $773.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.00 / $453.73 / $3,314.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.34 / $855.20 / $1,461.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.39 / $875.12 / $1,143.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $520.00 / $733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.32 / $743.59 / $1,353.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.52 / $780.15 / $957.96