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Arizona rates for HCPCS 25900

Amputation, forearm, through radius and ulna;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,819.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.97 / $693.59 / $1,594.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.74 / $868.27 / $1,085.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.48 / $902.91 / $1,395.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.31 / $948.65 / $8,317.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.12 / $810.18 / $5,488.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,255.00 / $7,205.00 / $11,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.00 / $738.72 / $1,418.69