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Montana rates for HCPCS 25907

Amputation, forearm, through radius and ulna; secondary closure or scar revision

Facilitymedian $1,072 · 10th–90th $813–$1,2590%20%40%10th90th$1,072Professionalmedian $891 · 10th–90th $603–$1,5490%10%10th90th$891$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $870.96 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $977.24 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $851.14 / $1,023.29
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,071.52 / $1,258.93
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,071.52 / $1,258.93
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $912.01 / $1,445.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $831.76 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,000.00 / $1,174.90