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Wyoming rates for HCPCS 25622

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.91 / $327.50 / $410.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.00 / $252.00 / $252.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.00 / $617.00 / $934.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.23 / $585.82 / $909.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.32 / $549.90 / $956.78