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Oklahoma 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
$1,000.00 / $3,467.37 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $630.96 / $1,174.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $9,120.11 / $15,135.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $812.83 / $1,174.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,096.48 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $707.95 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,311.31 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $645.65 / $912.01