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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
$583.20 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.53 / $367.20 / $631.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.78 / $154.78 / $155.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.66 / $443.40 / $534.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.17 / $506.44 / $725.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.95 / $547.45 / $679.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $446.68 / $561.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.11 / $563.48 / $714.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.21 / $594.52 / $679.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.88 / $455.51 / $621.95