go back

Illinois rates for HCPCS 25909

Amp Forearm Thru Radius&Ulna Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.70 / $1,972.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.47 / $705.70 / $1,278.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,093.54 / $10,053.12 / $16,501.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.86 / $1,050.76 / $1,489.22
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.74 / $1,206.72 / $2,866.79
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.87 / $880.54 / $980.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,108.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.00 / $3,671.00 / $6,514.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.74 / $932.91 / $1,527.05