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Vermont rates for HCPCS 25250

Removal Wrist Prosthesis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.22 / $633.22 / $634.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.69 / $906.68 / $1,193.13
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.28 / $791.11 / $1,193.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.54 / $737.19 / $2,178.54