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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
$345.26 / $2,507.00 / $7,365.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$184.71 / $198.66 / $260.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.28 / $314.77 / $638.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.64 / $320.64 / $320.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.75 / $312.49 / $476.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.14 / $389.74 / $635.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.28 / $395.00 / $793.26
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$957.94 / $957.94 / $957.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.19 / $458.70 / $2,350.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.86 / $395.64 / $641.11