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Florida rates for HCPCS 25924

Disarticulation Thru Wrist Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.39 / $4,594.00 / $11,624.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.78 / $681.80 / $931.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.64 / $877.44 / $1,392.28
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.60 / $635.14 / $791.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.12 / $525.78 / $922.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,462.00 / $12,949.00 / $20,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.53 / $694.75 / $1,246.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.91 / $530.91 / $635.51