go back

Minnesota rates for HCPCS 25695

Open Treatment Lunate Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.52 / $635.52 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.16 / $646.85 / $1,003.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,966.60 / $12,197.67 / $25,424.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.34 / $1,806.25 / $2,356.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.28 / $2,195.37 / $5,281.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.49 / $1,848.64 / $2,745.51
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.62 / $2,007.10 / $4,158.47
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.67 / $1,652.81 / $2,517.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.58 / $1,088.77 / $2,735.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.25 / $1,241.00 / $2,510.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,412.00 / $4,746.00 / $8,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.25 / $1,295.11 / $2,410.61