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Montana rates for HCPCS 25650

Closed treatment of ulnar styloid fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $426.58 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $426.58 / $524.81
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $562.34 / $616.60
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $562.34 / $616.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $426.58 / $616.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $457.09 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $501.19 / $616.60