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North Carolina rates for HCPCS 25900

Amputation, forearm, through radius and ulna;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.57 / $1,067.90 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.57 / $739.03 / $1,359.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.73 / $1,238.67 / $1,916.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.16 / $1,119.98 / $1,764.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.57 / $960.00 / $1,585.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.00 / $881.00 / $940.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $956.20 / $1,921.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.16 / $924.15 / $1,874.65
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,340.64 / $3,689.04
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,669.58 / $5,669.58 / $6,249.15