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West 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
$432.37 / $683.42 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.23 / $482.54 / $651.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.47 / $529.26 / $576.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.16 / $512.57 / $512.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.83 / $768.83 / $768.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.94 / $633.13 / $1,309.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.91 / $556.14 / $771.95