go back

West Virginia rates for HCPCS 25405

Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,022.58 / $1,400.00 / $2,300.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.29 / $1,231.36 / $1,341.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,178.07 / $1,178.07 / $1,178.07
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$116.84 / $116.84 / $116.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,098.59 / $15,098.59 / $15,098.59