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Arkansas rates for HCPCS 25924

Disarticulation through wrist; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.77 / $1,277.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.84 / $810.77 / $897.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.77 / $945.96 / $1,001.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.53 / $998.77 / $1,318.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.00 / $4,334.00 / $8,676.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.10 / $833.80 / $1,337.51