go back

Montana rates for HCPCS 25650

Closed Treatment Ulnar Styloid Fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.04 / $295.94 / $549.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.72 / $503.72 / $543.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.72 / $503.72 / $503.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.41 / $453.35 / $536.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.39 / $336.93 / $503.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.88 / $496.06 / $699.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.35 / $523.60 / $600.60