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Washington 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
$1,380.38 / $10,232.93 / $23,988.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $758.58 / $8,317.64
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,479.11 / $9,549.93
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,380.38 / $1,479.11
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,000.00 / $2,187.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $20,417.38 / $38,904.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $21,379.62 / $41,686.94