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Virginia 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
$316.23 / $2,630.27 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $323.59 / $691.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,570.40 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $426.58 / $724.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $416.87 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $363.08 / $660.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $426.58 / $512.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $457.09 / $724.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $371.54 / $588.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $346.74 / $1,348.96
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $380.19 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $1,148.15 / $2,398.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $331.13 / $575.44