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Delaware rates for HCPCS 25628

Open Tx Carpal Scaphoid Navicular Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.89 / $742.10 / $7,662.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,851.90 / $3,851.90 / $3,851.90
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,047.83 / $9,047.83 / $9,047.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,783.00 / $2,783.00 / $2,783.00