go back

Delaware rates for HCPCS 25924

Disarticulation through wrist; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.98 / $723.36 / $723.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.78 / $740.88 / $1,250.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,783.00 / $2,783.00 / $2,783.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.13 / $748.37 / $1,591.15