go back

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
$954.99 / $3,981.07 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $489.78 / $977.24
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,691.53 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $524.81 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $549.54 / $933.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $891.25 / $1,122.02
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $645.65 / $954.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,090.30 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $630.96 / $1,380.38
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $1,047.13
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $724.44 / $1,071.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $407.38 / $489.78
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $407.38 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,238.72 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $524.81 / $870.96