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Arizona rates for HCPCS 25628

Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.50 / $3,758.00 / $7,139.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,613.46 / $4,140.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.30 / $918.32 / $9,251.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$186.87 / $186.87 / $1,887.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,279.00 / $7,341.00 / $11,396.00