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Mississippi rates for HCPCS 25624

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,288.25 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $457.09 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $870.96 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $691.83 / $933.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,023.29 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $501.19 / $1,000.00