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Mississippi rates for HCPCS 25695

Open Treatment Lunate Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.70 / $1,223.76 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.33 / $619.71 / $1,382.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,644.37 / $3,644.37 / $3,644.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.00 / $1,141.00 / $1,141.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.37 / $3,552.02 / $4,015.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.41 / $972.06 / $1,322.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.00 / $2,148.00 / $6,612.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.37 / $780.12 / $1,434.65