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Minnesota rates for HCPCS 25905

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $707.95 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $24,547.09 / $58,884.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,659.59 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,570.40 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,089.30 / $3,090.30
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,454.71 / $4,786.30
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,737.80 / $2,754.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,230.27 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,318.26 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $6,309.57 / $13,182.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,258.93 / $2,511.89