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Oklahoma 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
$1,000.00 / $3,890.45 / $12,589.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $11,481.54 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,187.76 / $14,125.38
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$186.21 / $1,905.46 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $7,762.47 / $14,454.40