go back

Wyoming rates for HCPCS 25900

Amputation, forearm, through radius and ulna;

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.51 / $733.22 / $921.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.00 / $1,673.00 / $2,531.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.38 / $1,440.57 / $2,021.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,934.00 / $6,934.00 / $26,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.77 / $1,429.28 / $2,507.69