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Idaho 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
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $371.54 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $380.19 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $588.84 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $407.38 / $524.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $467.74 / $758.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $575.44 / $724.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $549.54 / $741.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $575.44 / $645.65
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $380.19 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $1,819.70 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $426.58 / $616.60