go back

Missouri 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
$380.19 / $2,511.89 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $323.59 / $977.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $316.23 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $354.81 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $389.05 / $616.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $389.05 / $870.96
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$954.99 / $954.99 / $954.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $457.09 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $691.83 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $346.74 / $549.54