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West Virginia rates for HCPCS 25375

Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.49 / $1,400.00 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.56 / $998.00 / $1,431.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.15 / $1,134.18 / $1,235.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.57 / $1,098.41 / $1,098.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.97 / $1,083.97 / $1,083.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.21 / $1,449.18 / $2,732.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.62 / $1,204.31 / $1,927.30