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Massachusetts rates for HCPCS 25650

Closed Treatment Ulnar Styloid Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.12 / $2,747.00 / $4,806.64
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$210.84 / $210.84 / $225.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.11 / $325.69 / $773.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.87 / $818.35 / $2,713.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,157.40 / $1,157.40 / $1,157.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.58 / $635.04 / $2,482.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.99 / $497.28 / $887.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.94 / $661.10 / $868.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.41 / $548.16 / $939.65
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.32 / $493.95 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.28 / $486.37 / $671.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.90 / $786.81 / $1,024.74
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.23 / $398.23 / $398.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,653.43 / $3,445.00
Mass General Brigham
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,157.40 / $1,157.40 / $1,157.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.25 / $671.28 / $2,482.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.35 / $527.88 / $1,050.21