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West Virginia rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.49 / $1,130.32 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.49 / $774.02 / $1,100.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.19 / $875.34 / $953.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.93 / $847.74 / $847.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.32 / $840.32 / $840.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.28 / $1,060.60 / $2,100.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.24 / $823.34 / $1,165.64