go back

Michigan rates for HCPCS 25251

Removal of wrist prosthesis; complicated, including total wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.50 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.63 / $924.28 / $960.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,055.63 / $3,586.41 / $4,859.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.09 / $765.09 / $1,733.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.19 / $834.39 / $1,532.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.20 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.93 / $810.92 / $1,198.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $499.91 / $839.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $6,649.00 / $8,911.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.20 / $862.68 / $1,178.91