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Minnesota rates for HCPCS 25622

Closed Tx Carpal Scaphoid Fracture W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.25 / $323.22 / $323.22
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$222.94 / $242.42 / $242.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.53 / $303.61 / $498.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.48 / $778.05 / $2,613.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.50 / $860.78 / $1,134.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.37 / $1,129.94 / $2,718.21
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$345.03 / $345.03 / $345.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.52 / $943.14 / $1,411.98
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.97 / $1,033.03 / $2,140.33
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.61 / $814.49 / $1,265.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.89 / $526.71 / $874.43
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$956.89 / $956.89 / $956.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.39 / $634.33 / $2,186.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.00 / $1,727.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.55 / $543.91 / $1,153.91