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Washington rates for HCPCS 25907

Amputation, forearm, through radius and ulna; secondary closure or scar revision

Facilitymedian $1,585 · 10th–90th $759–$16,5960%5%10th90th$1,585Professionalmedian $871 · 10th–90th $562–$1,8200%10%10th90th$871$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $7,943.28 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $794.33 / $1,659.59
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $8,709.64 / $17,378.01
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,230.27 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $870.96 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $1,023.29 / $1,819.70
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $1,258.93 / $3,890.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,230.27 / $2,951.21
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $281.84
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,174.90 / $1,258.93
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $851.14 / $977.24
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,258.93 / $1,621.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $8,912.51 / $17,378.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,230.27 / $1,698.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $10,232.93 / $18,620.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $912.01 / $1,621.81
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $676.08 / $1,230.27