go back

Vermont rates for HCPCS 25622

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $363.08 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $416.87 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $416.87 / $616.60
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $426.58 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $398.11 / $741.31