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Idaho 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
$2,884.03 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $794.33 / $1,258.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $3,715.35 / $8,511.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,202.26 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $831.76 / $1,071.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,047.13 / $1,584.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,122.02 / $1,479.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $7,244.36 / $10,232.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,202.26 / $1,318.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $707.95 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $5,495.41 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $891.25 / $1,258.93