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Massachusetts rates for HCPCS 25624

Closed Tx Carpal Scaphoid Fracture W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.37 / $2,663.12 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.74 / $463.22 / $772.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $2,384.73 / $7,161.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.24 / $929.26 / $3,678.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.65 / $717.87 / $1,281.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.26 / $806.76 / $1,395.80
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.97 / $1,018.64 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.20 / $721.46 / $995.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.26 / $1,166.67 / $1,556.68
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $2,384.73 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.34 / $996.76 / $3,678.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $2,408.00 / $5,683.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.79 / $760.73 / $1,541.52