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North Dakota rates for HCPCS 25251

Removal of wrist prosthesis; complicated, including total wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.34 / $713.34 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.00 / $713.34 / $740.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.13 / $1,598.52 / $1,874.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.35 / $1,768.81 / $2,356.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.34 / $893.58 / $1,230.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.58 / $1,328.96 / $1,846.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,025.00 / $5,025.00 / $5,025.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.58 / $1,308.61 / $1,649.08