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Mississippi rates for HCPCS 25622

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $1,819.70 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $295.12 / $602.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $602.56 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $134.90 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $446.68 / $588.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $537.03 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $323.59 / $630.96