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Oklahoma rates for HCPCS 25624

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,570.40 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $467.74 / $891.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,737.80 / $2,818.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $562.34 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $575.44 / $758.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $630.96 / $2,818.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $549.54 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,318.26 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $457.09 / $630.96