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Texas rates for HCPCS 25624

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.00 / $2,550.00 / $7,542.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.83 / $480.45 / $789.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.53 / $2,141.52 / $4,350.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.84 / $531.41 / $769.43
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $432.01 / $433.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.83 / $768.83 / $768.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.83 / $596.37 / $913.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.60 / $11,500.00 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,330.48 / $3,745.36 / $4,378.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.00 / $546.86 / $867.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.21 / $701.01 / $901.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.23 / $821.50 / $1,743.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.58 / $547.07 / $895.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.15 / $631.72 / $965.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.00 / $1,529.00 / $3,400.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.96 / $501.28 / $781.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.35 / $481.32 / $675.99