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West Virginia rates for HCPCS 25695

Open treatment of lunate dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.08 / $974.91 / $1,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.71 / $670.39 / $949.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.24 / $755.00 / $822.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.19 / $731.18 / $731.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.86 / $726.86 / $726.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.27 / $922.93 / $1,801.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.79 / $717.26 / $1,005.89