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California rates for HCPCS 25624

Closed Tx Carpal Scaphoid Fracture W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $5,324.00 / $16,713.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.25 / $442.67 / $1,828.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $4,597.00 / $9,381.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.36 / $607.30 / $1,167.67
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $6,919.63
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.98 / $472.98 / $1,067.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,646.28 / $1,649.19 / $2,948.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.98 / $566.79 / $1,209.95
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.04 / $617.73 / $848.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.86 / $642.21 / $1,104.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.60 / $2,384.73 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,330.48 / $3,745.36 / $4,378.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.07 / $611.96 / $839.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.93 / $607.38 / $1,236.13
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.73 / $1,442.73 / $1,594.20
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.45 / $507.74 / $698.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,410.00 / $2,699.00 / $7,655.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.03 / $480.41 / $1,065.40