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Kansas rates for HCPCS 25622

Closed Tx Carpal Scaphoid Fracture W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.73 / $7,655.00 / $13,151.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$264.23 / $285.89 / $374.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.29 / $317.64 / $498.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.00 / $1,381.68 / $2,299.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.13 / $386.03 / $424.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.45 / $395.03 / $621.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.83 / $399.10 / $804.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.20 / $400.06 / $2,370.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,769.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.58 / $353.90 / $510.80