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Indiana rates for HCPCS 25909

Amp Forearm Thru Radius&Ulna Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.65 / $1,643.90 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.24 / $642.98 / $881.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.35 / $7,572.00 / $18,942.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.16 / $905.20 / $1,249.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.66 / $875.24 / $1,312.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.16 / $781.46 / $1,125.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.68 / $942.75 / $1,495.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.08 / $775.60 / $1,399.00