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Missouri rates for HCPCS 25920

Disarticulation through wrist;

Facilitymedian $4,266 · 10th–90th $1,479–$8,5110%10%10th90th$4,266Professionalmedian $813 · 10th–90th $617–$1,5850%10%20%10th90th$813$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $776.25 / $1,862.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $4,570.88 / $8,317.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $831.76 / $1,288.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $812.83 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $912.01 / $1,513.56
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $1,023.29 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $977.24 / $5,370.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,467.37 / $7,762.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $831.76 / $1,258.93