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Idaho rates for HCPCS 25900

Amputation, forearm, through radius and ulna;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.51 / $1,027.01 / $1,461.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.34 / $1,071.81 / $1,313.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.18 / $1,445.16 / $1,753.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.11 / $1,288.49 / $1,676.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,009.42 / $1,139.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,703.82 / $18,472.14 / $30,479.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.72 / $1,454.97 / $1,676.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.16 / $1,087.56 / $1,518.48