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New York rates for HCPCS 25622

Closed Tx Carpal Scaphoid Fracture W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.82 / $2,626.00 / $9,038.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$210.70 / $278.24 / $395.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.60 / $309.83 / $669.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $3,373.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.54 / $322.75 / $708.35
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.16 / $402.16 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.16 / $402.16 / $436.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.90 / $492.90 / $14,648.00
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
$292.36 / $440.24 / $1,083.83
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $332.00 / $788.65
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.98 / $497.52 / $733.42
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.39 / $301.39 / $301.39
Excellus BCBS
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$238.11 / $238.11 / $238.11
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.55 / $382.98 / $675.58
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.53 / $425.32 / $823.39
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.90 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$345.03 / $345.03 / $345.03
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.94 / $446.29 / $1,066.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,826.00 / $4,851.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.51 / $386.60 / $953.26
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.36 / $353.36 / $1,069.71
Univera
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$238.11 / $279.16 / $279.16
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.42 / $420.04 / $751.22