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Vermont rates for HCPCS 25624

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $537.03 / $1,174.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $660.69 / $977.24
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $660.69 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $616.60 / $1,174.90