go back

New Jersey rates for HCPCS 25900

Amputation, forearm, through radius and ulna;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.09 / $5,695.00 / $10,871.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.09 / $727.40 / $1,203.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.56 / $1,058.57 / $2,139.03
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.47 / $1,155.39 / $1,165.11
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.10 / $914.43 / $1,842.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $10,536.00 / $23,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.97 / $935.98 / $2,122.23