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Oregon rates for HCPCS 25622

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $758.58 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $331.13 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $549.54 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $724.44 / $870.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $446.68 / $707.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $537.03 / $812.83
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $575.44 / $645.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $446.68 / $676.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $575.44 / $831.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $741.31 / $891.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $630.96 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,202.26 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $549.54 / $812.83