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California rates for HCPCS 25924

Disarticulation Thru Wrist Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.53 / $9,639.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.29 / $626.53 / $3,665.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,314.00 / $11,098.00 / $23,642.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.26 / $955.23 / $1,889.73
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.40 / $100.00 / $5,367.09
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.60 / $791.62 / $1,778.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $2,277.00 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.47 / $861.64 / $1,868.22
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.30 / $510.44 / $1,061.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.03 / $941.17 / $1,692.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,291.20 / $3,654.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,175.52 / $5,300.32 / $6,164.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.69 / $923.15 / $1,233.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.13 / $915.87 / $1,875.30
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,274.28 / $2,274.28 / $2,274.28
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.49 / $685.86 / $943.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,366.00 / $13,555.00 / $29,312.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.84 / $690.92 / $1,497.10