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California 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
$3,019.95 / $7,585.78 / $19,952.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,511.38 / $15,848.93
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $4,168.69 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $6,918.31 / $6,918.31
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $776.25 / $1,071.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $831.76 / $1,621.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $19,952.62 / $45,708.82
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $870.96 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $14,125.38 / $28,840.32