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West Virginia rates for HCPCS 25680

Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.60 / $814.03 / $1,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.60 / $568.96 / $715.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.90 / $630.41 / $686.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.25 / $610.52 / $610.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.63 / $615.63 / $615.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.19 / $642.45 / $1,306.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.92 / $588.66 / $814.03