go back

North Dakota rates for HCPCS 25695

Open Treatment Lunate Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.03 / $629.03 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.23 / $629.03 / $653.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.80 / $1,413.35 / $1,657.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.30 / $1,565.43 / $2,085.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.03 / $855.57 / $1,088.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.44 / $1,171.59 / $1,628.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.44 / $1,153.96 / $1,452.97