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Virginia rates for HCPCS 25624

Closed Tx Carpal Scaphoid Fracture W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.11 / $3,226.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.90 / $489.51 / $780.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.98 / $544.70 / $900.55
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.79 / $526.40 / $2,012.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.00 / $572.00 / $768.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.76 / $571.67 / $1,073.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.98 / $632.79 / $747.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.48 / $584.46 / $884.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.00 / $656.00 / $945.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.92 / $547.28 / $1,291.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.50 / $603.79 / $1,291.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $1,890.00 / $3,765.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.75 / $588.46 / $944.26