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New Jersey rates for HCPCS 25250

Removal of wrist prosthesis; (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.29 / $4,540.00 / $10,202.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.05 / $531.29 / $902.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.57 / $758.98 / $1,629.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.72 / $864.68 / $871.49
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,243.64 / $3,890.91 / $7,420.39
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.29 / $657.91 / $1,381.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,705.00 / $5,265.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.17 / $678.47 / $1,590.59