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West Virginia rates for HCPCS 25275

Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.94 / $1,029.76 / $4,036.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.96 / $797.47 / $868.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.12 / $771.12 / $771.12