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Virginia rates for HCPCS 25622

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $3,235.94 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $338.84 / $660.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,570.40 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $426.58 / $724.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $416.87 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $354.81 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $524.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $724.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $371.54 / $588.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $346.74 / $1,348.96
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $380.19 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $1,148.15 / $2,398.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $331.13 / $575.44