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Alaska rates for HCPCS 25630

Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); without manipulation, each bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $5,888.44 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $389.05 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $891.25 / $1,348.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $588.84 / $1,949.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,023.29 / $1,584.89
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,318.26 / $1,778.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $446.68 / $1,621.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $416.87 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $1,230.27 / $1,584.89