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Maryland rates for HCPCS 25624

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $478.63 / $1,122.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $512.86 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $457.09 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $575.44 / $1,148.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $660.69 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $141.25 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $512.86 / $954.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $676.08 / $831.76