go back

Oklahoma rates for HCPCS 25650

Closed treatment of ulnar styloid fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,683.00 / $18,600.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$240.65 / $240.65 / $259.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.04 / $320.87 / $346.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.21 / $1,878.12 / $2,967.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.85 / $392.18 / $477.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.85 / $207.85 / $207.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.68 / $384.60 / $512.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.79 / $407.31 / $1,159.49
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
$271.83 / $361.06 / $2,532.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.95 / $334.88 / $473.27