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Nebraska rates for HCPCS 25650

Closed treatment of ulnar styloid fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $467.74 / $1,584.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $4,365.16 / $8,511.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $489.78 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $707.95 / $954.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $512.86 / $1,230.27
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $645.65 / $2,511.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $724.44 / $954.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $776.25 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $1,230.27 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $537.03 / $794.33