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West Virginia rates for HCPCS 25900

Amputation, forearm, through radius and ulna;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.26 / $1,101.98 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.53 / $754.77 / $1,062.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.78 / $853.40 / $929.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.98 / $826.49 / $826.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.20 / $823.20 / $823.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.85 / $1,085.50 / $1,998.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.34 / $873.83 / $1,346.55