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Tennessee rates for HCPCS 25624

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,290.87 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $489.78 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,290.87 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $676.08 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $616.60 / $954.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $28,840.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $4,365.16 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,445.44 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $512.86 / $870.96