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Ohio 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
$1,041.52 / $5,447.00 / $11,061.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,670.00 / $6,003.00 / $30,285.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.95 / $825.18 / $1,095.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.94 / $823.94 / $6,683.04
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$81.69 / $81.69 / $81.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $8,440.00 / $13,382.00