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Tennessee rates for HCPCS 25900

Amputation Forearm Through Radius & Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,382.18 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.75 / $727.92 / $1,146.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,430.00 / $6,991.00 / $13,623.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.26 / $940.08 / $1,491.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.80 / $1,010.94 / $1,505.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,390.28 / $3,689.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,488.46 / $5,669.58 / $6,249.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.48 / $829.24 / $1,513.71