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West Virginia rates for HCPCS 25671

Prq Skeletal Fixj Distal Radioulnar Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.83 / $819.52 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.26 / $634.66 / $691.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.24 / $618.24 / $618.24