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Ohio rates for HCPCS 25635

Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); with manipulation, each bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,238.72 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $489.78 / $1,288.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,187.76 / $7,943.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $416.87 / $676.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $676.08 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $575.44 / $870.96
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $575.44 / $870.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $204.17
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $1,995.26
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $537.03 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $1,023.29 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $467.74 / $758.58