go back

Minnesota rates for HCPCS 25628

Open Tx Carpal Scaphoid Navicular Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.05 / $723.05 / $13,592.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,375.73 / $12,197.67 / $25,424.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,759.42 / $2,496.37 / $6,005.35
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$81.69 / $81.69 / $81.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.48 / $2,282.28 / $4,728.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.51 / $1,266.05 / $7,642.28
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$186.87 / $186.87 / $186.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $9,370.00 / $12,774.00