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New York rates for HCPCS 25650

Closed treatment of ulnar styloid fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.12 / $2,626.00 / $9,038.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$228.20 / $292.79 / $426.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.32 / $340.85 / $723.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $3,373.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.11 / $325.64 / $765.06
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.02 / $434.02 / $6,213.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.02 / $434.02 / $468.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.78 / $530.78 / $14,648.00
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
$314.20 / $463.61 / $1,162.93
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.00 / $465.00 / $847.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.89 / $530.29 / $782.09
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.07 / $321.07 / $321.07
Excellus BCBS
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$253.65 / $253.65 / $253.65
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.89 / $409.43 / $722.31
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.56 / $450.07 / $804.94
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.78 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$371.55 / $371.55 / $371.55
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.25 / $476.45 / $1,146.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,826.00 / $4,851.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.70 / $405.23 / $1,003.70
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.45 / $379.45 / $1,168.71
Univera
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$253.65 / $299.77 / $299.77
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.44 / $425.84 / $805.83