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Idaho rates for HCPCS 25622

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $380.19 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $323.59 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $588.84 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $524.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $467.74 / $741.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $575.44 / $741.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $165.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $549.54 / $741.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $575.44 / $660.69
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $363.08 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $1,819.70 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $416.87 / $602.56