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Idaho 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
$1,071.52 / $7,413.10 / $10,964.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $8,511.38 / $18,620.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,265.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,202.26 / $4,466.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $16,218.10 / $22,908.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $11,748.98 / $29,512.09