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Alaska rates for HCPCS 25920

Disarticulation through wrist;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,077.82 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.49 / $3,524.07 / $3,524.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,765.09 / $2,313.92 / $3,163.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.07 / $3,524.07 / $4,933.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,806.55 / $2,167.86 / $4,400.97
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,525.00 / $3,500.30 / $4,406.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.07 / $3,524.07 / $4,933.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.04 / $3,484.25 / $4,406.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,851.14 / $3,239.50 / $4,072.51