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Delaware rates for HCPCS 25624

Closed treatment of carpal scaphoid (navicular) fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,949.00 / $3,949.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.52 / $453.14 / $500.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.73 / $919.73 / $919.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.24 / $473.58 / $848.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.00 / $440.00 / $440.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.91 / $493.72 / $1,101.61