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Iowa rates for HCPCS 25920

Disarticulation Through Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,277.00 / $6,066.00 / $11,100.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.74 / $1,045.63 / $1,155.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.51 / $1,661.04 / $2,076.30
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.84 / $1,069.65 / $2,126.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.31 / $1,625.90 / $8,604.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.20 / $1,386.19 / $5,425.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.00 / $1,625.90 / $2,073.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.97 / $1,585.46 / $2,073.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,220.00 / $9,259.00 / $14,242.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.93 / $1,076.66 / $2,005.27
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.61 / $1,433.70 / $1,686.70