go back

Idaho rates for HCPCS 25628

Open Tx Carpal Scaphoid Navicular Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,750.66 / $5,519.00 / $10,857.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,214.76 / $4,214.76 / $4,226.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.47 / $1,252.08 / $1,702.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,951.56 / $17,361.59 / $22,059.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00