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Arkansas rates for HCPCS 25250

Removal Wrist Prosthesis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $1,064.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.61 / $631.54 / $735.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,458.96 / $1,458.96 / $1,750.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.89 / $713.61 / $755.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.07 / $3,206.07 / $3,206.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.20 / $775.43 / $993.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,229.00 / $2,539.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.73 / $677.92 / $1,060.24