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North Carolina rates for HCPCS 25909

Amp Forearm Thru Radius&Ulna Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.98 / $1,245.00 / $8,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.98 / $707.81 / $1,453.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,629.68 / $5,629.68 / $5,711.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.92 / $1,198.51 / $1,856.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.26 / $1,085.43 / $1,717.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.98 / $935.71 / $1,520.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.00 / $848.00 / $894.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $909.60 / $1,845.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,661.00 / $7,659.00 / $10,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.41 / $905.77 / $1,663.47
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $14,670.11 / $17,132.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,538.69 / $5,538.69 / $5,961.83