go back

Missouri rates for HCPCS 25628

Open Tx Carpal Scaphoid Navicular Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $3,491.00 / $8,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.92 / $1,097.27 / $19,067.25
Medica
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
$2,426.00 / $4,432.00 / $12,989.00