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Minnesota rates for HCPCS 25250

Removal Wrist Prosthesis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.22 / $538.22 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.27 / $552.21 / $855.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,079.87 / $3,421.75 / $6,499.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.73 / $1,525.57 / $1,990.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.25 / $1,863.32 / $4,482.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.95 / $1,570.59 / $2,332.57
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,193.86 / $1,703.52 / $3,529.50
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.65 / $1,404.22 / $2,139.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.09 / $922.77 / $2,296.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.85 / $1,046.14 / $2,112.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.00 / $3,500.00 / $6,361.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.91 / $1,014.96 / $2,073.77