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Tennessee rates for HCPCS 25909

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,454.71 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $724.44 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $7,079.46 / $10,232.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,023.29 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $977.24 / $1,479.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $16,982.44 / $16,982.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $6,025.60 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,630.78 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $851.14 / $1,380.38