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Connecticut rates for HCPCS 25920

Disarticulation Through Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.63 / $5,194.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.99 / $768.33 / $1,810.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,873.00 / $19,753.83 / $26,880.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.04 / $1,306.64 / $1,788.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $843.00 / $843.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.09 / $1,271.31 / $1,880.52
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,346.67 / $2,466.00 / $2,518.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.16 / $992.89 / $1,243.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,943.00 / $10,336.00 / $17,069.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.75 / $1,245.57 / $2,180.75