go back

New York 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
$323.05 / $2,660.00 / $7,307.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$213.43 / $280.07 / $395.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.00 / $323.05 / $711.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $3,373.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.98 / $320.77 / $718.97
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.10 / $404.10 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.10 / $404.10 / $435.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.31 / $495.31 / $14,648.00
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$346.72 / $346.72 / $346.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.83 / $437.25 / $1,090.56
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $332.00 / $790.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.46 / $494.17 / $728.83
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.23 / $299.23 / $299.23
Excellus BCBS
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$236.39 / $236.39 / $236.39
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.39 / $379.88 / $670.11
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.02 / $414.16 / $429.39
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.31 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$346.72 / $346.72 / $346.72
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.26 / $446.00 / $1,068.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,826.00 / $4,851.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.83 / $379.81 / $953.11
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.02 / $353.02 / $1,097.70
Univera
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$236.39 / $278.89 / $278.89
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.39 / $417.01 / $747.60