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West Virginia rates for HCPCS 25676

Open treatment of distal radioulnar dislocation, acute or chronic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.19 / $964.05 / $1,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.42 / $746.59 / $813.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.76 / $722.76 / $722.76