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Arizona rates for HCPCS 25909

Amp Forearm Thru Radius&Ulna Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.34 / $694.79 / $1,598.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $4,934.39 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.25 / $826.58 / $1,033.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.53 / $867.79 / $1,343.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.87 / $938.43 / $3,787.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.17 / $791.70 / $5,361.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.40 / $713.85 / $1,357.20