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West Virginia rates for HCPCS 25907

Amputation, forearm, through radius and ulna; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.14 / $943.41 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.54 / $650.15 / $913.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.00 / $730.60 / $796.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.04 / $707.56 / $707.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.92 / $704.92 / $704.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.36 / $933.88 / $1,739.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.73 / $856.70 / $1,229.18