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Massachusetts rates for HCPCS 25622

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $1,445.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $346.74 / $812.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $741.31 / $2,818.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $426.58 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $602.56 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $478.63 / $870.96
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $478.63 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $501.19 / $660.69
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $575.44 / $912.01
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $741.31 / $2,818.38
Mass General Brigham
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $426.58 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,819.70 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $446.68 / $933.25