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West Virginia rates for HCPCS 25690

Closed Tx Lunate Dislocation W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.65 / $753.49 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.65 / $528.03 / $707.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.01 / $583.51 / $635.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.95 / $565.12 / $565.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.63 / $570.63 / $570.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.47 / $662.49 / $1,344.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.29 / $534.20 / $756.91