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Wyoming rates for HCPCS 25695

Open treatment of lunate dislocation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.16 / $646.85 / $819.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,116.00 / $6,116.00 / $6,116.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.00 / $1,484.00 / $2,245.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.47 / $1,292.32 / $1,792.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.00 / $2,607.00 / $10,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.48 / $1,274.65 / $2,132.01