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Delaware rates for HCPCS 25250

Removal of wrist prosthesis; (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.28 / $539.54 / $539.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.73 / $919.73 / $919.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.69 / $561.45 / $955.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.00 / $1,320.00 / $1,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.04 / $575.63 / $1,234.85