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Arizona rates for HCPCS 25622

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,715.35 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $338.84 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $275.42 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $338.84 / $588.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $380.19 / $1,412.54
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$954.99 / $954.99 / $954.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $389.05 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $1,202.26 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $288.40 / $512.86