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Georgia rates for HCPCS 25622

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $5,370.32 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $331.13 / $660.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,089.30 / $3,548.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $416.87 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $489.78 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$346.74 / $346.74 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $436.52 / $758.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $467.74 / $2,238.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$407.38 / $407.38 / $446.68
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $575.44 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $1,479.11 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $354.81 / $676.08