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Rhode Island 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
$2,398.83 / $3,235.94 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $630.96 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $630.96 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,096.48 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,677.35 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $870.96 / $1,380.38