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Florida rates for HCPCS 25628

Open Tx Carpal Scaphoid Navicular Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.54 / $4,012.85 / $11,481.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.00 / $3,499.48 / $4,166.05
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,462.00 / $12,949.00 / $20,609.00