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Missouri rates for HCPCS 25900

Amputation Forearm Through Radius & Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.49 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.77 / $727.75 / $1,136.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.62 / $622.62 / $622.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $19,155.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.24 / $909.92 / $1,350.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.27 / $987.81 / $1,550.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.20 / $1,076.31 / $4,250.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.41 / $1,022.88 / $5,488.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.00 / $4,432.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.50 / $929.40 / $1,532.11