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Alaska rates for HCPCS 25907

Amputation, forearm, through radius and ulna; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $10,964.78 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $776.25 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,995.26 / $2,630.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $1,258.93 / $4,168.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,137.96 / $3,162.28
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,570.40 / $3,548.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,174.90 / $3,311.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $831.76 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $2,398.83 / $3,548.13