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West Virginia rates for HCPCS 25251

Removal of wrist prosthesis; complicated, including total wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.51 / $1,104.82 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.06 / $757.89 / $1,079.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.91 / $855.60 / $932.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.17 / $828.61 / $828.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.09 / $822.09 / $822.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.12 / $1,035.77 / $1,997.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,910.00 / $2,910.00 / $2,910.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.03 / $880.04 / $1,157.05