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Oklahoma rates for HCPCS 25250

Removal of wrist prosthesis; (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,683.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.48 / $560.98 / $570.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.70 / $688.02 / $823.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,351.42 / $1,351.42 / $1,351.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.09 / $681.64 / $835.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.52 / $745.72 / $3,910.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.26 / $602.88 / $3,995.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $2,072.00 / $4,012.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.60 / $558.02 / $803.36