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Maryland 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
$0.98 / $4,897.79 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $776.25 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,000.00 / $3,548.13