go back

Rhode Island rates for HCPCS 25905

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,981.07 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $724.44 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $724.44 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,258.93 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $7,762.47 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,000.00 / $1,548.82