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Ohio rates for HCPCS 25900

Amputation, forearm, through radius and ulna;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.18 / $4,723.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.80 / $702.26 / $1,265.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,315.00 / $29,300.94 / $53,822.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.30 / $892.03 / $1,440.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.57 / $824.69 / $1,095.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.96 / $962.14 / $127,498.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.09 / $993.40 / $1,429.29
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.20 / $823.20 / $823.20
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.09 / $998.18 / $1,441.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.37 / $495.24 / $879.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $8,440.00 / $13,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.45 / $892.19 / $1,414.99