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Connecticut rates for HCPCS 25628

Open Tx Carpal Scaphoid Navicular Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,862.00 / $7,521.00 / $9,881.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,098.00 / $16,131.00 / $19,160.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $9,619.46 / $9,619.46
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,330.14 / $4,873.00 / $4,974.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,263.43 / $18,263.43 / $18,263.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,943.00 / $10,336.00 / $17,069.00