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Missouri rates for HCPCS 25650

Closed treatment of ulnar styloid fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.02 / $3,131.00 / $12,154.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$199.20 / $214.82 / $279.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.60 / $328.81 / $747.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.09 / $329.09 / $329.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,279.00 / $8,563.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.00 / $341.00 / $504.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.80 / $412.65 / $669.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.60 / $427.07 / $841.76
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
$315.86 / $493.32 / $2,532.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.77 / $402.70 / $674.21