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California rates for HCPCS 25900

Amputation, forearm, through radius and ulna;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.35 / $9,639.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.65 / $727.35 / $3,731.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,644.00 / $13,974.00 / $37,078.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.18 / $1,056.41 / $2,029.31
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.40 / $100.00 / $7,121.41
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.48 / $920.68 / $2,015.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $2,277.00 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.32 / $986.93 / $1,977.39
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.37 / $574.10 / $1,066.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.47 / $952.16 / $1,708.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,340.64 / $3,689.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,488.46 / $5,669.58 / $6,249.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.09 / $960.00 / $1,367.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.55 / $1,030.15 / $1,917.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,315.29 / $2,315.29 / $2,315.29
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.19 / $688.82 / $947.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,366.00 / $13,555.00 / $29,312.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.04 / $757.33 / $1,536.84