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California rates for HCPCS 25622

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $9,549.93 / $19,952.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $323.59 / $912.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,466.84 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $398.11 / $794.33
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $239.88 / $1,778.28
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $363.08 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $363.08 / $741.31
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $371.54 / $537.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $407.38 / $691.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $1,819.70
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,754.23 / $2,754.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $446.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $398.11 / $616.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $380.19 / $776.25
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $1,000.00
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $295.12 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,584.89 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $295.12 / $616.60