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Missouri rates for HCPCS 25624

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.45 / $3,213.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.05 / $459.39 / $753.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.00 / $487.62 / $745.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.06 / $608.22 / $990.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.48 / $671.22 / $2,020.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.99 / $731.64 / $3,745.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $1,410.00 / $2,664.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.15 / $592.13 / $1,013.95