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New Jersey rates for HCPCS 25622

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $6,025.60 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $316.23 / $724.44
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $407.38 / $954.99
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $436.52 / $602.56
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $776.25 / $1,230.27
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $380.19 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,884.03 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $323.59 / $724.44