go back

Massachusetts rates for HCPCS 25250

Removal Wrist Prosthesis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.00 / $2,094.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.00 / $547.77 / $883.18
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.10 / $2,826.85 / $8,498.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.51 / $904.38 / $3,920.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.69 / $875.82 / $1,532.57
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.41 / $1,184.14 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.86 / $758.12 / $1,042.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.66 / $1,341.41 / $1,769.53
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,592.00 / $12,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.69 / $1,000.13 / $3,920.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $8,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.42 / $828.90 / $1,764.24