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Alaska rates for HCPCS 25622

Closed treatment of carpal scaphoid (navicular) fracture; without manipulation

Facilitymedian $457 · 10th–90th $251–$1,9050%10%10th90th$457Professionalmedian $447 · 10th–90th $275–$1,3180%10%10th90th$447$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $912.01 / $16,595.87
Aetna
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$251.19 / $251.19 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $389.05 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $446.68 / $954.99
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $457.09 / $1,513.56
Moda Health
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$251.19 / $251.19 / $251.19
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $954.99 / $1,621.81
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,318.26 / $1,737.80
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $457.09 / $1,513.56
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $416.87 / $891.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $1,071.52 / $1,698.24