go back

Tennessee rates for HCPCS 25905

Amp Forearm Thru Radius & Ulna Open Circular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,355.79 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.75 / $688.90 / $1,146.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,430.00 / $7,194.00 / $13,734.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.25 / $929.16 / $1,470.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.73 / $996.81 / $1,454.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,316.24 / $3,577.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,337.89 / $5,514.04 / $6,093.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.19 / $835.88 / $1,492.65