go back

Massachusetts rates for HCPCS 25622

Closed Tx Carpal Scaphoid Fracture W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.30 / $538.20 / $2,900.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$195.38 / $195.38 / $216.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.29 / $308.83 / $736.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.91 / $818.35 / $2,713.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,085.28 / $1,085.28 / $1,085.28
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.01 / $594.29 / $2,332.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.45 / $465.75 / $831.46
BCBS
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$253.72 / $326.02 / $537.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.81 / $605.87 / $805.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.95 / $516.29 / $881.57
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.32 / $462.63 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.78 / $458.47 / $633.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.87 / $737.67 / $954.14
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.75 / $260.69 / $451.26
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.00 / $479.27 / $479.27
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,550.40 / $3,445.00
Mass General Brigham
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,085.28 / $1,085.28 / $1,085.28
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.79 / $631.59 / $2,332.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.50 / $497.27 / $968.73