go back

Indiana rates for HCPCS 25922

Disarticulation through wrist; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.09 / $2,318.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.83 / $605.09 / $816.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,140.00 / $5,948.00 / $9,462.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.85 / $713.80 / $985.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.86 / $822.02 / $1,233.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.16 / $733.95 / $1,056.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.45 / $1,123.45 / $1,331.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.23 / $752.25 / $1,237.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.46 / $656.28 / $1,170.28