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West Virginia rates for HCPCS 25085

Capsulotomy Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.23 / $686.43 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.94 / $476.90 / $671.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.95 / $531.59 / $579.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.06 / $514.82 / $514.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.42 / $517.42 / $517.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.85 / $669.98 / $1,269.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $556.79 / $797.96