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California 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
$344.00 / $4,848.00 / $16,573.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$188.72 / $208.55 / $1,430.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.83 / $302.14 / $1,111.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.99 / $192.99 / $192.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,464.00 / $8,976.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.63 / $377.01 / $756.53
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $1,581.82
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.01 / $304.30 / $653.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.00 / $253.20 / $453.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.02 / $367.47 / $775.18
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.65 / $363.90 / $491.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.93 / $407.28 / $723.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,388.36 / $1,541.95
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$957.94 / $1,079.36 / $1,079.36
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,151.28 / $2,350.08 / $2,745.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.64 / $391.32 / $532.74
Providence
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$346.72 / $346.72 / $591.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.41 / $391.89 / $786.39
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.04 / $931.04 / $1,007.98
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.29 / $319.18 / $438.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.00 / $1,523.00 / $5,830.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.79 / $315.27 / $741.01