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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
$602.56 / $602.56 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $616.60 / $1,096.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $794.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $954.99 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $758.58 / $1,148.15