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Minnesota rates for HCPCS 25650

Closed Treatment Ulnar Styloid Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.83 / $345.52 / $345.52
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$239.13 / $259.14 / $259.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.12 / $345.52 / $534.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.48 / $778.05 / $2,613.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.29 / $923.25 / $1,212.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.88 / $1,201.59 / $2,890.62
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$371.55 / $371.55 / $371.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.01 / $991.02 / $1,483.44
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.89 / $1,098.55 / $2,276.08
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.90 / $872.90 / $1,352.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.68 / $563.00 / $937.94
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,026.83 / $1,026.83 / $1,026.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.56 / $674.61 / $2,345.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.00 / $1,727.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.36 / $641.80 / $1,302.52