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Kentucky 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
$601.91 / $860.00 / $2,747.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $3,498.00 / $8,769.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.00 / $936.49 / $1,080.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.69 / $823.94 / $823.94
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$81.69 / $81.69 / $81.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.00 / $4,639.00 / $12,296.00