go back

Mississippi rates for HCPCS 25622

Closed Tx Carpal Scaphoid Fracture W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.36 / $750.00 / $1,831.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$190.02 / $205.07 / $460.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.43 / $280.92 / $613.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.14 / $388.14 / $388.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.65 / $141.65 / $141.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.00 / $604.00 / $604.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.14 / $133.38 / $371.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.38 / $449.65 / $594.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $513.00 / $1,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.60 / $331.95 / $641.76