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Vermont rates for HCPCS 25695

Open Treatment Lunate Dislocation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.68 / $759.64 / $759.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.42 / $1,145.08 / $2,283.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.22 / $1,087.42 / $1,420.51
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.78 / $942.93 / $1,420.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.88 / $892.19 / $1,512.38