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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
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.89 / $885.24 / $1,254.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.78 / $1,895.78 / $1,901.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.28 / $929.97 / $1,160.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.72 / $1,245.89 / $1,504.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.40 / $1,103.34 / $1,440.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $974.38 / $1,085.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,301.55 / $7,849.65 / $9,927.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.50 / $1,252.34 / $1,440.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.22 / $913.98 / $1,275.84