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Oklahoma rates for HCPCS 25251

Removal of wrist prosthesis; complicated, including total wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,683.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.46 / $755.94 / $768.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.78 / $2,545.78 / $2,545.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.62 / $933.06 / $1,157.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.94 / $1,048.00 / $6,840.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.14 / $816.59 / $5,349.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.00 / $5,147.21 / $8,116.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.66 / $749.58 / $1,056.91