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California rates for HCPCS 25920

Disarticulation through wrist;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.52 / $9,639.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.92 / $711.22 / $3,755.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,314.00 / $11,098.00 / $23,642.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.98 / $976.07 / $1,935.20
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.40 / $100.00 / $5,367.09
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.89 / $791.00 / $1,777.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $2,277.00 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.22 / $883.71 / $1,912.94
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.30 / $510.44 / $1,087.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.48 / $964.03 / $1,733.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,371.80 / $3,742.67
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,300.88 / $5,425.44 / $6,320.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.29 / $944.58 / $1,263.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.46 / $939.00 / $1,919.62
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,329.94 / $2,329.94 / $2,329.94
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.49 / $702.18 / $965.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,366.00 / $13,555.00 / $29,312.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.92 / $731.87 / $1,672.45