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Idaho rates for HCPCS 25250

Removal of wrist prosthesis; (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.96 / $735.33 / $1,090.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.37 / $1,006.37 / $1,009.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.04 / $794.00 / $934.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.33 / $926.83 / $1,253.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.69 / $961.85 / $1,253.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $752.14 / $946.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.28 / $3,916.24 / $6,112.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.32 / $1,090.39 / $1,253.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $3,450.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.24 / $792.82 / $1,134.41