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West Virginia rates for HCPCS 25575

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,313.84 / $11,313.84 / $22,086.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.36 / $1,072.43 / $1,168.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.88 / $1,031.88 / $1,031.88
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$102.45 / $102.45 / $102.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,128.57 / $18,128.57 / $18,128.57