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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
$683.92 / $5,087.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.49 / $650.15 / $862.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.46 / $738.45 / $1,220.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.29 / $678.29 / $5,113.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $704.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.03 / $878.67 / $1,345.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.65 / $763.46 / $902.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.11 / $815.07 / $1,251.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.00 / $880.95 / $1,192.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.79 / $824.33 / $2,672.90
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.79 / $824.33 / $2,672.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,870.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.73 / $813.87 / $1,223.79