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Wyoming rates for HCPCS 25907

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.89 / $627.83 / $794.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,767.20 / $2,767.20 / $2,767.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.00 / $1,440.00 / $2,178.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.23 / $1,251.78 / $1,740.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.00 / $2,607.00 / $10,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.55 / $1,233.56 / $2,164.48