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Indiana 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
$467.74 / $3,801.89 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $316.23 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,466.84 / $8,709.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $263.03 / $457.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $295.12 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $371.54 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $338.84 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $2,137.96 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $302.00 / $524.81