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Vermont rates for HCPCS 25695

Open treatment of lunate dislocation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $758.58 / $1,621.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $870.96 / $1,412.54
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $870.96 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $891.25 / $2,570.40