go back

Indiana 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
$933.25 / $4,897.79 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $630.96 / $1,380.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $13,803.84 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $851.14 / $1,348.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $616.60 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,230.27 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $776.25 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $6,025.60 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $691.83 / $1,202.26