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Alaska rates for HCPCS 25650

Closed treatment of ulnar styloid fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.50 / $9,285.00 / $13,413.92
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$656.54 / $656.54 / $704.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.03 / $320.36 / $1,592.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.35 / $964.16 / $1,468.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.14 / $1,484.69 / $2,229.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.60 / $1,012.11 / $2,033.85
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.80 / $1,592.50 / $1,916.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.33 / $1,484.69 / $2,229.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.00 / $1,560.90 / $2,015.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.78 / $1,441.62 / $1,812.32