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West Virginia rates for HCPCS 25628

Open Tx Carpal Scaphoid Navicular Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.12 / $1,101.09 / $11,163.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.59 / $852.72 / $929.06
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,796.62 / $13,796.62 / $13,796.62