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Massachusetts 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
$1,778.28 / $3,467.37 / $5,623.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $7,413.10 / $45,708.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,479.11 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,918.31 / $15,488.17
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $6,025.60 / $8,128.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $7,413.10 / $45,708.82
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $7,244.36 / $16,595.87