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Kentucky rates for HCPCS 25251

Removal Wrist Prosth Complicated W/Total Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.46 / $988.00 / $3,740.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.46 / $702.06 / $994.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.00 / $2,067.00 / $2,978.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.16 / $690.81 / $1,043.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.78 / $935.66 / $1,079.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.16 / $935.66 / $1,336.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.09 / $822.09 / $979.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.75 / $966.25 / $1,493.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $868.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $3,828.00 / $8,582.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.74 / $918.32 / $1,360.34