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Arizona rates for HCPCS 25920

Disarticulation through wrist;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,819.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.00 / $683.52 / $3,755.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.96 / $876.53 / $1,095.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.44 / $834.40 / $1,370.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.39 / $916.39 / $8,317.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.29 / $750.96 / $5,425.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,255.00 / $7,205.00 / $11,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.04 / $716.76 / $1,398.16