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Vermont rates for HCPCS 25630

Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); without manipulation, each bone

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $389.05 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $416.87 / $616.60
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $426.58 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $398.11 / $741.31