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Arizona 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
$2,089.30 / $3,890.45 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $630.96 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $891.25 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $776.25 / $1,230.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $870.96 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $758.58 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,311.31 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $1,122.02