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Alaska rates for HCPCS 25624

Closed Tx Carpal Scaphoid Fracture W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,384.38 / $7,340.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.52 / $2,144.19 / $2,347.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.22 / $1,400.05 / $2,165.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.59 / $2,144.19 / $3,287.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.75 / $1,502.16 / $3,018.60
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.70 / $2,341.50 / $2,772.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.98 / $2,144.19 / $3,287.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.32 / $2,204.80 / $2,853.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.72 / $2,138.01 / $2,687.78