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Iowa 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
$1,148.15 / $3,981.07 / $7,943.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,000.00 / $2,290.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,905.46 / $17,782.79
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,621.81 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $11,748.98 / $19,498.45