go back

North Carolina rates for HCPCS 25922

Disarticulation Thru Wrist Sec Closure/Scar Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.48 / $1,245.00 / $8,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.46 / $636.48 / $1,186.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.55 / $1,703.55 / $1,728.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.88 / $927.66 / $1,557.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $1,438.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.29 / $865.29 / $1,527.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.48 / $790.62 / $1,242.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.00 / $634.00 / $840.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $859.30 / $1,524.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,661.00 / $7,659.00 / $10,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.34 / $732.85 / $1,599.72
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.16 / $4,754.80 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,697.28 / $4,697.28 / $5,593.20