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Rhode Island rates for HCPCS 25622

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,981.07 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $354.81 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $331.13 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $457.09 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,412.54 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $363.08 / $660.69