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Connecticut rates for HCPCS 25900

Amputation Forearm Through Radius & Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.39 / $5,194.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.20 / $757.18 / $1,793.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,678.00 / $35,579.31 / $48,414.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.55 / $1,349.46 / $1,864.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $843.00 / $843.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.57 / $1,389.75 / $1,873.64
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,346.67 / $2,466.00 / $2,518.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.29 / $1,054.05 / $1,358.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,943.00 / $10,336.00 / $17,069.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.05 / $1,262.35 / $2,185.78