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New York 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
$897.56 / $5,228.00 / $10,686.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,749.00 / $9,877.00 / $16,490.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.39 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.94 / $823.94 / $823.94
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$81.69 / $81.69 / $81.69
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $860.00 / $1,932.62
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.25 / $683.25 / $683.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.78 / $4,581.31 / $12,821.97
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $823.94
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$81.69 / $81.69 / $81.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,341.00 / $6,700.00 / $16,782.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.34 / $869.34 / $3,082.07