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Idaho rates for HCPCS 25251

Removal of wrist prosthesis; complicated, including total wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.35 / $1,008.02 / $1,466.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.78 / $1,895.78 / $1,901.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.15 / $1,091.00 / $1,257.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.77 / $1,246.23 / $1,700.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.52 / $1,286.75 / $1,683.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,136.45 / $1,266.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,834.98 / $7,849.65 / $9,927.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.82 / $1,460.97 / $1,683.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $9,360.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.48 / $1,080.04 / $1,536.98