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Arizona rates for HCPCS 25924

Disarticulation Thru Wrist Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,819.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.51 / $653.22 / $3,665.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.53 / $855.46 / $1,069.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.65 / $815.16 / $1,322.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.88 / $902.02 / $8,317.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.64 / $731.77 / $5,300.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,255.00 / $7,205.00 / $11,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.15 / $681.60 / $1,333.62