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West 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
$275.42 / $933.25 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $309.03 / $616.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $371.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $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
$275.42 / $380.19 / $1,659.59
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $323.59 / $977.24
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $660.69 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $309.03 / $457.09