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Connecticut rates for HCPCS 25622

Closed Tx Carpal Scaphoid Fracture W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.65 / $4,305.00 / $8,031.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$311.74 / $342.02 / $451.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.53 / $308.14 / $716.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $7,483.00 / $19,160.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.20 / $517.17 / $708.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $353.26 / $353.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.65 / $512.24 / $765.74
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,340.80 / $1,643.00 / $1,677.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.70 / $425.25 / $532.57
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.00 / $453.00 / $453.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $3,075.00 / $6,664.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.44 / $546.26 / $933.85