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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
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.46 / $918.54 / $1,062.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.99 / $873.34 / $1,355.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.72 / $1,292.04 / $1,470.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,713.00 / $7,457.00 / $12,945.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.60 / $1,019.19 / $1,537.90