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North Carolina 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
$603.20 / $1,245.00 / $8,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.20 / $636.03 / $1,128.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.29 / $1,186.22 / $1,660.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $2,710.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.02 / $978.30 / $1,534.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.20 / $839.93 / $1,363.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.00 / $757.00 / $804.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $819.20 / $1,534.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,661.00 / $7,659.00 / $10,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.28 / $816.37 / $1,611.29
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,327.08 / $8,957.00 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,358.30 / $5,421.10 / $5,421.10