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Missouri rates for HCPCS 25909

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.47 / $697.58 / $1,087.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.67 / $866.78 / $1,302.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.24 / $955.58 / $1,491.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.84 / $1,040.72 / $3,500.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.86 / $986.16 / $5,361.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,874.00 / $5,829.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.47 / $892.31 / $1,475.11