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Washington rates for HCPCS 25900

Amputation, forearm, through radius and ulna;

Facilitymedian $1,660 · 10th–90th $851–$25,7040%10%10th90th$1,660Professionalmedian $1,000 · 10th–90th $646–$1,9500%10%20%10th90th$1,000$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $4,677.35 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $912.01 / $1,778.28
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $35,481.34 / $70,794.58
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,412.54 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,202.26 / $2,137.96
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,445.44 / $8,709.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,412.54 / $6,606.93
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $302.00
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,348.96 / $1,412.54
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $1,000.00
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,479.11 / $1,905.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $35,481.34 / $70,794.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,412.54 / $1,949.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $20,892.96 / $41,686.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,047.13 / $1,862.09
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $776.25 / $1,412.54