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Vermont rates for HCPCS 25900

Amputation Forearm Through Radius & Ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.72 / $884.65 / $884.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.60 / $1,214.71 / $1,593.99
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.08 / $1,076.05 / $1,593.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.62 / $1,011.70 / $2,910.43