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Arizona rates for HCPCS 25250

Removal of wrist prosthesis; (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.96 / $521.60 / $1,065.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,651.20 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.15 / $648.16 / $810.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.33 / $621.58 / $1,042.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.74 / $692.71 / $3,134.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.84 / $571.23 / $3,995.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.00 / $2,567.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.62 / $524.29 / $1,014.54