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Indiana rates for HCPCS 25624

Closed Tx Carpal Scaphoid Fracture W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.29 / $777.15 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.88 / $459.39 / $627.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,943.00 / $5,126.00 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.72 / $489.17 / $675.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.64 / $582.83 / $874.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.85 / $574.80 / $827.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.45 / $1,123.45 / $1,331.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.33 / $536.19 / $873.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $3,267.00 / $4,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.99 / $500.48 / $925.65