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New Jersey 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
$660.54 / $5,982.00 / $10,871.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.80 / $628.65 / $1,035.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.54 / $911.27 / $1,852.99
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.75 / $989.86 / $999.50
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,597.35 / $7,888.29 / $16,020.69
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.71 / $774.90 / $1,556.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $7,250.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.29 / $853.88 / $1,833.56