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West Virginia rates for HCPCS 25295

Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.49 / $806.58 / $4,193.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.30 / $624.64 / $680.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.71 / $606.71 / $606.71
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,258.93 / $4,258.93 / $4,258.93