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Illinois rates for HCPCS 25650

Closed Treatment Ulnar Styloid Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.85 / $813.00 / $5,389.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$237.72 / $409.18 / $501.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.04 / $320.36 / $620.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.07 / $3,398.06 / $7,411.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.00 / $525.45 / $685.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.87 / $250.87 / $280.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.04 / $457.99 / $659.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.40 / $533.07 / $1,140.24
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.21 / $395.99 / $472.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $534.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $891.00 / $3,685.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.56 / $402.27 / $695.18