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Rhode Island rates for HCPCS 25900

Amputation, forearm, through radius and ulna;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,981.07 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $741.31 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $741.31 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,288.25 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $7,762.47 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,000.00 / $1,584.89