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Minnesota rates for HCPCS 25622

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $323.59 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $316.23 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $870.96 / $2,290.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $724.44 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,202.26 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$346.74 / $346.74 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $933.25 / $1,412.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,148.15 / $2,238.72
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $831.76 / $1,288.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $524.81 / $912.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $630.96 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,819.70 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $549.54 / $1,071.52