go back

Michigan rates for HCPCS 25909

Amp Forearm Thru Radius&Ulna Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.31 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.79 / $881.31 / $915.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,932.51 / $3,441.90 / $4,663.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.45 / $1,049.74 / $1,751.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.85 / $847.80 / $1,460.95
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.33 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.47 / $784.66 / $1,140.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $469.29 / $797.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,806.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.34 / $856.62 / $1,118.82