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Michigan rates for HCPCS 25909

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

Facilitymedian $4,898 · 10th–90th $2,399–$6,4570%20%10th90th$4,898Professionalmedian $776 · 10th–90th $617–$1,5850%10%20%10th90th$776$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $707.95 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,122.02 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $851.14 / $1,258.93
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $4,073.80 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $851.14 / $1,445.44
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $851.14 / $1,122.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $5,754.40 / $14,791.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $831.76 / $1,122.02