go back

Maine 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 / $354.81 / $776.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $436.52 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $436.52 / $676.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $478.63 / $912.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $407.38 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $380.19 / $691.83