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Massachusetts rates for HCPCS 25909

Amputation, forearm, through radius and ulna; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,311.31 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $776.25 / $1,949.84
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,630.27 / $9,120.11
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,096.48 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,071.52 / $1,949.84
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,096.48 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $912.01 / $1,258.93
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,258.93 / $1,995.26
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,630.27 / $9,120.11
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,096.48 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,265.80 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,148.15 / $2,041.74