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Oklahoma rates for HCPCS 25695

Open Treatment Lunate Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,683.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.66 / $667.48 / $678.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,873.50 / $12,508.22 / $19,762.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.70 / $819.79 / $979.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,659.86 / $5,659.86 / $5,659.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.72 / $819.79 / $1,009.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.48 / $894.69 / $5,543.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.37 / $721.00 / $4,729.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,900.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.35 / $660.44 / $943.78