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Massachusetts 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
$1,778.28 / $3,311.31 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $660.69 / $1,778.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $4,897.79 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,000.00 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $977.24 / $1,737.80
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,288.25 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,122.02
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,122.02 / $1,778.28
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,897.79 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,000.00 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,265.80 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,023.29 / $1,819.70