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West Virginia rates for HCPCS 25393

Osteoplasty, radius AND ulna; lengthening with autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,117.49 / $1,400.00 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.07 / $1,175.59 / $1,675.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,198.61 / $1,342.69 / $1,462.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.14 / $1,300.33 / $1,300.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.88 / $1,280.88 / $1,280.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.25 / $1,717.88 / $3,192.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.16 / $1,440.73 / $2,116.32