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Massachusetts rates for HCPCS 25628

Open Tx Carpal Scaphoid Navicular Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.63 / $2,663.12 / $4,806.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.05 / $5,508.58 / $19,078.05
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$186.87 / $186.87 / $1,887.52
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.99 / $1,583.00 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,954.14 / $5,981.16 / $8,193.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $6,078.00 / $26,542.00
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$186.87 / $186.87 / $1,887.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $13,017.00