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Washington, DC 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
$335.22 / $2,080.00 / $4,100.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$232.81 / $232.81 / $251.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.62 / $310.41 / $786.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.00 / $356.43 / $660.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.23 / $443.70 / $881.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.02 / $744.86 / $744.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.50 / $443.69 / $901.83