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Alaska rates for HCPCS 25251

Removal Wrist Prosth Complicated W/Total Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,464.00 / $6,782.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.05 / $3,501.82 / $3,501.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.40 / $2,353.13 / $3,104.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.73 / $3,501.82 / $4,902.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.15 / $2,144.58 / $4,353.70
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,585.00 / $3,572.44 / $4,384.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.73 / $3,501.82 / $4,902.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.23 / $3,530.90 / $4,558.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,882.50 / $2,839.95 / $4,141.50