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Texas rates for HCPCS 25650

Closed treatment of ulnar styloid fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.70 / $3,445.00 / $10,893.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$196.83 / $232.28 / $373.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.04 / $320.36 / $535.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.88 / $169.98 / $666.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.18 / $368.56 / $513.49
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.14 / $125.00 / $2,413.35
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.52 / $179.52 / $314.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $314.33 / $314.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.78 / $530.78 / $530.78
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
$307.54 / $409.78 / $629.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.64 / $372.99 / $653.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.80 / $472.32 / $602.21
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.56 / $545.74 / $1,194.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.68 / $378.49 / $659.77
Providence
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$371.55 / $371.55 / $639.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.51 / $431.77 / $659.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $950.00 / $2,405.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.78 / $347.34 / $533.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.94 / $324.33 / $455.63