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West 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
$227.48 / $439.31 / $633.55
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$206.60 / $221.07 / $352.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.45 / $335.22 / $617.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.89 / $340.22 / $370.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.82 / $329.48 / $329.48
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
$283.22 / $408.70 / $825.59
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.02 / $387.00 / $423.23
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.41 / $728.41 / $728.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.68 / $355.31 / $469.65