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Hawaii 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
$1,000.00 / $2,884.03 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $309.03 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $338.84 / $446.68
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $501.19 / $2,454.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $407.38 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $346.74 / $467.74
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $363.08 / $436.52