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Tennessee rates for HCPCS 25650

Closed Treatment Ulnar Styloid Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.11 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$203.65 / $442.96 / $607.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.67 / $317.18 / $534.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.40 / $213.40 / $213.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.00 / $1,364.00 / $2,065.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.17 / $409.35 / $645.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.12 / $427.87 / $658.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,653.43 / $1,653.43
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,026.83 / $1,157.40 / $1,157.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,305.84 / $2,532.56 / $2,946.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.82 / $358.09 / $677.94