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Texas rates for HCPCS 25695

Open treatment of lunate dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.00 / $2,630.00 / $7,542.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.70 / $647.91 / $1,095.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,127.55 / $9,032.74 / $17,826.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.66 / $747.64 / $1,018.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $584.59 / $593.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.86 / $726.86 / $726.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.60 / $845.29 / $1,301.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.19 / $16,394.00 / $19,913.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,637.04 / $4,729.04 / $5,525.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.12 / $795.35 / $1,220.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.06 / $948.08 / $1,175.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.61 / $1,049.85 / $2,316.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.12 / $814.02 / $1,277.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.58 / $875.32 / $1,328.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,326.00 / $7,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.76 / $683.47 / $1,070.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.44 / $611.80 / $850.85