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West Virginia rates for HCPCS 25449

Revision of arthroplasty, including removal of implant, wrist joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,016.60 / $1,400.00 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.68 / $1,078.34 / $1,546.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.84 / $1,224.84 / $1,334.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.59 / $1,186.21 / $1,186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.49 / $1,172.49 / $1,172.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.80 / $1,510.69 / $2,927.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.39 / $1,275.04 / $1,766.93