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Massachusetts rates for HCPCS 25900

Amputation, forearm, through radius and ulna;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.46 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.90 / $733.87 / $1,132.17
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $3,887.00 / $28,594.87
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.56 / $1,349.98 / $5,669.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.56 / $1,281.20 / $2,048.71
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,185.21 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.24 / $1,014.17 / $1,390.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.44 / $1,715.08 / $2,257.58
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,671.00 / $14,018.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.68 / $1,383.70 / $5,669.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $13,017.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.19 / $1,190.91 / $2,514.05