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Nationwide rates for HCPCS 25905

Amputation, forearm, through radius and ulna; open, circular (guillotine)

Facilitymedian $6,166 · 10th–90th $1,000$16,9820%5%10%10th90th$6,166Professionalmedian $832 · 10th–90th $631$1,7780%20%10th90th$832$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$977.24 / $4,570.88 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $741.31 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $10,471.29 / $19,498.45
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $977.24 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $2,137.96 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,071.52 / $2,137.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $8,317.64 / $18,197.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $870.96 / $1,621.81