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Virginia 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
$676.08 / $5,011.87 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $645.65 / $1,445.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $6,760.83 / $7,413.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $891.25 / $1,548.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $954.99 / $6,918.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $851.14 / $1,348.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $724.44 / $851.14
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,258.93 / $1,412.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $794.33 / $1,288.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $831.76 / $6,918.31
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $831.76 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $7,079.46 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $776.25 / $1,318.26