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North Carolina rates for HCPCS 25695

Open treatment of lunate dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.16 / $1,181.00 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.16 / $656.86 / $1,218.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.24 / $990.79 / $1,678.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.04 / $530.04 / $6,025.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.55 / $898.96 / $1,586.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.16 / $862.66 / $1,242.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.00 / $786.00 / $829.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.80 / $925.61 / $1,063.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,661.00 / $7,659.00 / $10,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.39 / $745.59 / $1,503.72
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.19 / $17,381.18 / $19,913.50
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,637.04 / $4,637.04 / $5,525.63