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Arizona rates for HCPCS 25922

Disarticulation through wrist; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.14 / $592.70 / $3,313.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.41 / $776.47 / $970.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.00 / $739.73 / $1,196.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.48 / $792.44 / $3,790.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.30 / $652.32 / $4,814.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.20 / $601.55 / $1,199.18