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Utah rates for HCPCS 25650

Closed Treatment Ulnar Styloid Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.34 / $429.71 / $4,387.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$300.26 / $300.26 / $322.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.20 / $399.43 / $1,605.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.06 / $420.18 / $670.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.46 / $201.09 / $336.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.97 / $453.87 / $651.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $518.04 / $730.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.64 / $345.95 / $570.88