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Missouri rates for HCPCS 25250

Removal of wrist prosthesis; (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,570.40 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $562.34 / $1,698.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,677.35 / $8,317.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $630.96 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $616.60 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $691.83 / $1,122.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $870.96 / $5,011.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $741.31 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,318.26 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $616.60 / $1,000.00