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West Virginia rates for HCPCS 25920

Disarticulation Through Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.10 / $1,106.72 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.93 / $775.31 / $1,045.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.94 / $857.08 / $933.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.77 / $830.04 / $830.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.01 / $831.01 / $831.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.16 / $993.68 / $1,972.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.17 / $796.06 / $1,147.20