go back

West Virginia rates for HCPCS 25622

Closed Tx Carpal Scaphoid Fracture W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.70 / $924.02 / $924.02
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$205.45 / $221.26 / $352.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.53 / $311.54 / $505.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.39 / $337.42 / $367.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.82 / $326.77 / $326.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.90 / $492.90 / $492.90
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$345.03 / $345.03 / $345.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.37 / $396.85 / $814.90
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.83 / $267.17 / $760.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.55 / $454.73 / $656.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.15 / $333.18 / $469.60