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Pennsylvania rates for HCPCS 25624

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.00 / $2,747.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.23 / $458.98 / $753.07
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,772.00 / $2,838.15 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.89 / $522.91 / $863.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.83 / $768.83 / $768.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.69 / $553.47 / $914.45
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.67 / $815.89 / $1,044.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,730.99 / $3,730.99 / $3,730.99
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.50 / $496.50 / $496.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $3,120.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.83 / $491.97 / $1,544.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.70 / $571.10 / $1,035.59
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.83 / $768.83 / $768.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.18 / $564.08 / $925.24
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.62 / $441.20 / $486.10
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.21 / $471.95 / $521.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.00 / $1,305.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.09 / $577.58 / $901.36