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Virginia rates for HCPCS 25624

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $3,235.94 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $501.19 / $933.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,981.07 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $660.69 / $1,148.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $676.08 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $562.34 / $1,047.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $676.08 / $812.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $707.95 / $1,148.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $575.44 / $912.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $537.03 / $2,630.27
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $602.56 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,137.96 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $524.81 / $912.01