go back

North Dakota 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
$609.22 / $609.22 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.49 / $616.64 / $631.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.01 / $1,370.67 / $1,607.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.43 / $1,521.55 / $2,026.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.22 / $880.79 / $1,122.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.31 / $1,130.58 / $1,577.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.15 / $1,117.60 / $1,406.13