go back

West Virginia rates for HCPCS 25931

Transmetacarpal Amputation Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.47 / $1,174.78 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.47 / $860.32 / $1,091.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.03 / $909.79 / $991.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.06 / $881.09 / $881.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$904.09 / $904.09 / $904.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.90 / $1,101.35 / $2,058.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.64 / $957.96 / $1,269.92