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Oklahoma rates for HCPCS 25695

Open treatment of lunate dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,630.27 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $645.65 / $1,230.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $11,481.54 / $19,054.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $758.58 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $831.76 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,071.52 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $724.44 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,311.31 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $891.25