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North Carolina rates for HCPCS 25250

Removal of wrist prosthesis; (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.46 / $903.00 / $7,362.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.46 / $552.74 / $980.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.86 / $815.27 / $1,404.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.75 / $395.75 / $1,438.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.47 / $758.82 / $1,324.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.46 / $636.37 / $1,046.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $658.00 / $701.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $715.60 / $1,404.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,733.00 / $6,543.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.03 / $658.29 / $1,400.92
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,027.80 / $4,754.80 / $12,000.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,920.96 / $3,920.96 / $4,672.35