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Delaware rates for HCPCS 25922

Disarticulation through wrist; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,736.00 / $4,736.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.79 / $656.52 / $656.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.73 / $919.73 / $919.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.27 / $672.32 / $1,096.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $1,485.00 / $1,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.48 / $603.22 / $1,435.45