go back

Wisconsin rates for HCPCS 25624

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

Facilitymedian $3,631 · 10th–90th $676$6,9180%5%10%10th90th$3,631Professionalmedian $646 · 10th–90th $437$1,8620%10%20%10th90th$646$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $954.99 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $489.78 / $1,071.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,570.88 / $7,079.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $912.01 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,548.82 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $1,230.27 / $2,344.23
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $691.83 / $3,548.13
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,148.15 / $1,412.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $741.31 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $1,000.00 / $3,715.35
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $562.34
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $2,951.21 / $3,235.94
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,174.90 / $1,995.26
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,258.93 / $1,819.70
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $3,235.94 / $4,786.30
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $2,290.87 / $3,715.35
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $1,621.81
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $2,884.03 / $3,235.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,818.38 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $691.83 / $1,862.09