go back

Minnesota 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
$724.44 / $724.44 / $13,489.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $14,125.38 / $32,359.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,630.27 / $6,309.57
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$123.03 / $123.03 / $123.03
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,570.40 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,479.11 / $10,715.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $9,120.11 / $13,182.57