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Arkansas rates for HCPCS 25628

Open Tx Carpal Scaphoid Navicular Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.48 / $1,397.00 / $4,478.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,727.30 / $6,727.30 / $8,072.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,588.14 / $4,588.14 / $4,588.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $3,635.00 / $8,676.00