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California 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
$1,820.00 / $6,640.00 / $17,701.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.38 / $600.54 / $3,221.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,456.00 / $7,007.00 / $14,981.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.81 / $915.49 / $1,753.66
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,908.14
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.60 / $915.86 / $1,964.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $3,101.23 / $5,554.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.51 / $874.62 / $1,702.92
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.09 / $731.20 / $987.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.69 / $815.20 / $1,463.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,327.08 / $8,957.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,247.92 / $5,358.30 / $5,421.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.85 / $809.75 / $1,192.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.51 / $902.75 / $1,659.57
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,999.00 / $1,999.00 / $1,999.00
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.21 / $648.10 / $811.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $7,359.00 / $15,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.61 / $669.18 / $1,502.74