go back

Massachusetts rates for HCPCS 25905

Amp Forearm Thru Radius & Ulna Open Circular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.92 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.45 / $721.87 / $1,107.91
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $3,887.00 / $28,594.87
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.81 / $1,327.13 / $5,514.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.09 / $1,257.56 / $2,020.95
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,150.65 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.74 / $985.70 / $1,350.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.69 / $1,670.14 / $2,198.42
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,671.00 / $14,018.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.17 / $1,380.47 / $5,514.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $13,017.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.10 / $1,152.92 / $2,073.19