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Massachusetts rates for HCPCS 25624

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $2,818.38 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $512.86 / $1,258.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,818.38 / $28,840.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $676.08 / $1,698.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $758.58 / $1,380.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,000.00 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $776.25 / $1,023.29
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,511.89 / $7,079.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $870.96 / $1,445.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,818.38 / $28,840.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $676.08 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,511.89 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $707.95 / $1,479.11