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Indiana rates for HCPCS 25900

Amputation, forearm, through radius and ulna;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.48 / $1,386.00 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.80 / $669.57 / $902.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $33,765.49 / $49,433.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.37 / $928.60 / $1,281.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.67 / $920.53 / $1,380.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.52 / $821.90 / $1,183.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.09 / $985.99 / $1,514.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.45 / $814.62 / $1,423.51