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West Virginia rates for HCPCS 25924

Disarticulation through wrist; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.00 / $1,079.33 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.59 / $757.46 / $995.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.27 / $835.87 / $910.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.42 / $809.51 / $809.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.92 / $810.92 / $810.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.90 / $994.98 / $1,925.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.28 / $777.04 / $1,119.55