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West Virginia rates for HCPCS 25426

Repair of defect with autograft; radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.96 / $1,400.00 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.85 / $1,169.08 / $1,634.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.58 / $1,334.60 / $1,454.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.15 / $1,292.51 / $1,292.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.64 / $1,273.64 / $1,273.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.13 / $1,707.91 / $3,240.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.03 / $1,507.93 / $2,121.08