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Maryland rates for HCPCS 25622

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $323.59 / $891.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $354.81 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $371.54 / $724.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $416.87 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $40.74 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $323.59 / $602.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $426.58 / $524.81