go back

Delaware rates for HCPCS 25920

Disarticulation through wrist;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.57 / $739.92 / $739.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.80 / $759.41 / $1,269.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,783.00 / $2,783.00 / $2,783.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.12 / $751.07 / $1,630.75