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Washington, DC rates for HCPCS 25250

Removal Wrist Prosthesis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $2,080.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.77 / $566.77 / $566.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.71 / $616.07 / $4,131.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.69 / $792.57 / $1,509.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.32 / $1,255.42 / $1,255.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.00 / $1,171.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.72 / $1,124.78 / $1,519.97