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West Virginia rates for HCPCS 25020

Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle and/or nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.14 / $1,260.22 / $7,762.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.51 / $822.90 / $896.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.49 / $835.49 / $835.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.60 / $1,546.83 / $4,109.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,910.00 / $2,910.00 / $2,910.00