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West Virginia rates for HCPCS 25301

Tenodesis Wrist Extensors Fingers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.34 / $984.82 / $1,700.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.55 / $762.66 / $830.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.28 / $737.28 / $737.28
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$73.26 / $73.26 / $73.26