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North Dakota rates for HCPCS 25900

Amputation, forearm, through radius and ulna;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.99 / $705.99 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.83 / $717.00 / $733.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,455.10 / $1,600.68 / $1,876.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.46 / $1,778.94 / $2,369.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.99 / $1,029.45 / $1,235.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.55 / $1,313.56 / $1,828.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.56 / $1,295.14 / $1,629.23