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Indiana rates for HCPCS 25920

Disarticulation through wrist;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $3,467.37 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $741.31 / $1,348.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $14,454.40 / $19,498.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $1,318.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $724.44 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $912.01 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $11,481.54 / $17,378.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $758.58 / $1,288.25