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Georgia rates for HCPCS 25628

Open Tx Carpal Scaphoid Navicular Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.67 / $4,908.00 / $7,421.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.01 / $5,435.54 / $12,227.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,259.48 / $1,522.74 / $2,071.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.94 / $823.94 / $4,830.16
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$81.69 / $81.69 / $81.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.18 / $1,221.28 / $1,791.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$28.67 / $28.67 / $28.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.00 / $9,172.00 / $18,613.00