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West Virginia 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
$707.95 / $1,698.24 / $11,220.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$123.03 / $123.03 / $123.03
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $13,182.57 / $13,182.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $20,417.38