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Kansas rates for HCPCS 25250

Removal of wrist prosthesis; (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,495.00 / $3,569.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.99 / $552.21 / $849.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.00 / $972.59 / $1,023.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $778.32 / $778.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $330.00 / $330.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.59 / $711.72 / $1,063.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.87 / $846.58 / $3,331.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.86 / $660.87 / $3,995.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $2,081.00 / $3,842.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.86 / $622.94 / $877.03