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Arizona 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
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.43 / $291.35 / $584.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.71 / $337.73 / $552.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.14 / $382.26 / $466.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.79 / $341.95 / $582.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.02 / $342.29 / $1,216.00
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$957.94 / $957.94 / $957.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.81 / $342.03 / $2,350.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.50 / $298.69 / $579.21