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Indiana rates for HCPCS 25251

Removal of wrist prosthesis; complicated, including total wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.03 / $1,773.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.46 / $674.48 / $924.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $3,950.00 / $13,758.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.48 / $613.51 / $920.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.71 / $917.84 / $1,376.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.60 / $819.50 / $1,180.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.34 / $2,116.34 / $2,508.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.00 / $895.35 / $1,507.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,846.00 / $8,348.00 / $12,569.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.42 / $784.92 / $1,386.72