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Maine rates for HCPCS 25650

Closed treatment of ulnar styloid fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.45 / $301.14 / $413.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.63 / $417.52 / $585.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.20 / $493.90 / $692.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.42 / $478.55 / $763.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.45 / $311.77 / $413.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.88 / $434.53 / $568.41