go back

Indiana rates for HCPCS 25650

Closed Treatment Ulnar Styloid Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.33 / $315.48 / $4,846.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$219.25 / $236.61 / $393.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.14 / $312.63 / $396.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $4,320.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.66 / $283.14 / $390.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.99 / $403.52 / $605.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.30 / $387.88 / $558.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.79 / $172.79 / $204.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.12 / $366.21 / $627.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.94 / $337.44 / $620.54