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Hawaii rates for HCPCS 25622

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.30 / $538.20 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.43 / $276.00 / $505.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.89 / $425.41 / $510.50
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.75 / $481.71 / $2,077.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.29 / $390.10 / $442.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,078.00 / $1,078.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.18 / $421.68 / $507.59
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.15 / $335.37 / $441.20