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Texas 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
$382.00 / $2,000.00 / $6,762.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$182.89 / $214.75 / $348.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.78 / $302.18 / $526.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.47 / $601.47 / $601.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.82 / $167.03 / $666.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.94 / $341.68 / $476.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.48 / $97.48 / $281.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.31 / $495.31 / $495.31
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
$288.26 / $384.27 / $587.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $1,541.95
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$957.94 / $1,079.36 / $1,079.36
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,151.28 / $2,350.08 / $2,745.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.75 / $347.68 / $552.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.80 / $440.17 / $561.22
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.87 / $525.08 / $1,127.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.63 / $349.18 / $569.37
Providence
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$346.72 / $346.72 / $591.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.70 / $405.45 / $619.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $950.00 / $2,405.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.38 / $317.72 / $503.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.33 / $302.30 / $424.60