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Rhode Island rates for HCPCS 25695

Open treatment of lunate dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.73 / $2,778.87 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.84 / $815.94 / $949.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.74 / $770.58 / $1,211.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.69 / $1,015.38 / $1,311.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,569.00 / $4,571.00 / $7,350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.29 / $896.61 / $1,374.40