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Oklahoma 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
$501.19 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $302.00 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,737.80 / $2,818.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $363.08 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $363.08 / $489.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $389.05 / $1,548.82
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
$251.19 / $346.74 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $616.60 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $295.12 / $398.11