go back

Maryland rates for HCPCS 25650

Closed Treatment Ulnar Styloid Fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.11 / $335.03 / $747.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.00 / $352.60 / $387.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $121.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.33 / $412.91 / $824.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.34 / $467.42 / $620.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $41.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.67 / $364.29 / $643.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.85 / $416.69 / $512.22