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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
$1,758.00 / $6,640.00 / $18,483.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,456.00 / $7,362.00 / $16,106.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $8,569.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $6,894.76 / $12,348.83
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.35 / $856.43 / $1,156.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.16 / $954.51 / $1,716.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,718.08 / $19,913.50 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$166.33 / $1,887.52 / $1,887.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.36 / $919.56 / $1,269.59
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$81.69 / $81.69 / $234.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $13,651.00 / $29,312.00