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Missouri rates for HCPCS 25695

Open Treatment Lunate Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.00 / $3,214.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $646.20 / $1,008.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.09 / $750.99 / $1,176.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.20 / $859.91 / $1,380.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.59 / $969.30 / $16,394.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.41 / $884.75 / $4,729.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.40 / $792.53 / $1,357.56