go back

Minnesota rates for HCPCS 25624

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $512.86 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $478.63 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $3,801.89 / $8,128.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,148.15 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,862.09 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,445.44 / $2,238.72
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,778.28 / $3,548.13
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,288.25 / $2,041.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $794.33 / $1,513.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $954.99 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,884.03 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $851.14 / $1,659.59