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Pennsylvania rates for HCPCS 25622

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $2,818.38 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $331.13 / $741.31
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,258.93 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $416.87 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$346.74 / $346.74 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $346.74 / $588.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $575.44 / $724.44
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $407.38 / $602.56
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $416.87 / $1,230.27
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $331.13 / $380.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,513.56 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $407.38 / $812.83
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $645.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $467.74 / $676.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $213.80 / $309.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $302.00 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $676.08 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $331.13 / $549.54