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Oklahoma rates for HCPCS 25900

Amputation, forearm, through radius and ulna;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,742.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.80 / $751.49 / $762.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,132.98 / $14,509.07 / $22,924.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.35 / $922.85 / $1,102.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.83 / $947.29 / $1,165.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.49 / $1,054.70 / $10,232.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.48 / $814.62 / $5,488.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,074.00 / $14,139.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.45 / $740.56 / $1,096.77