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Rhode Island rates for HCPCS 25920

Disarticulation Through Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.74 / $901.76 / $1,045.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.42 / $882.26 / $1,333.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.03 / $1,113.00 / $1,476.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,713.00 / $7,457.00 / $12,945.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.39 / $1,023.60 / $1,512.23