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Indiana rates for HCPCS 25924

Disarticulation Thru Wrist Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.77 / $1,386.00 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.01 / $666.77 / $900.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $19,595.20 / $27,445.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.55 / $818.40 / $1,129.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.88 / $905.72 / $1,358.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.94 / $808.68 / $1,164.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.53 / $890.96 / $1,387.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.98 / $725.04 / $1,300.18