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Missouri 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
$1,258.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.51 / $625.75 / $976.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.91 / $779.90 / $1,186.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.33 / $848.91 / $1,326.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.67 / $962.59 / $8,660.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.42 / $882.82 / $5,247.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.24 / $802.13 / $1,319.88