go back

Idaho rates for HCPCS 25650

Closed treatment of ulnar styloid fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $407.38 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $281.84 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $630.96 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $426.58 / $562.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $501.19 / $794.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $630.96 / $812.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $549.54 / $741.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $616.60 / $707.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $380.19 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $1,819.70 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $645.65