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Kansas rates for HCPCS 25622

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $5,495.41 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $316.23 / $588.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,380.38 / $2,187.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $389.05 / $588.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $407.38 / $812.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $446.68 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $416.87 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $331.13 / $489.78