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West Virginia rates for HCPCS 25650

Closed Treatment Ulnar Styloid Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.22 / $470.72 / $1,400.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$222.17 / $238.87 / $377.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.11 / $335.03 / $507.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.02 / $364.54 / $397.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.77 / $353.04 / $353.04
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
$303.92 / $424.45 / $864.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.34 / $635.07 / $5,850.70
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.37 / $722.32 / $726.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.10 / $350.05 / $503.73