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Hawaii rates for HCPCS 25251

Removal of wrist prosthesis; complicated, including total wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,884.03 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $741.31 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $831.76 / $1,000.00
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,047.13 / $1,258.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $831.76 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $851.14 / $1,148.15
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,548.82 / $3,981.07