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Idaho rates for HCPCS 25924

Disarticulation Thru Wrist Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.61 / $923.16 / $1,461.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.39 / $1,045.84 / $1,241.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.09 / $1,241.84 / $1,680.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.50 / $1,269.27 / $1,671.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $992.73 / $1,248.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,480.35 / $9,397.43 / $15,505.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.35 / $1,446.31 / $1,671.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.83 / $964.32 / $1,406.30