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Alaska rates for HCPCS 25900

Amputation Forearm Through Radius & Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,052.76 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.20 / $3,481.56 / $3,481.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,749.68 / $2,324.38 / $3,091.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.14 / $3,481.56 / $4,874.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,789.58 / $2,147.48 / $4,359.60
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,556.25 / $3,529.44 / $4,366.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.14 / $3,481.56 / $4,874.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.35 / $3,488.40 / $4,468.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,856.71 / $3,187.05 / $4,090.90