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West Virginia rates for HCPCS 25574

Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.65 / $726.71 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.23 / $802.06 / $873.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.58 / $775.58 / $775.58