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Arizona rates for HCPCS 25622

Closed Tx Carpal Scaphoid Fracture W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.48 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.43 / $293.49 / $626.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.71 / $337.73 / $552.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.64 / $385.26 / $466.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.89 / $336.67 / $580.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.00 / $341.96 / $1,216.00
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$956.89 / $956.89 / $956.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.04 / $341.63 / $2,370.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.88 / $300.83 / $578.54