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Massachusetts rates for HCPCS 25924

Disarticulation Thru Wrist Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.23 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.53 / $702.38 / $1,129.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $3,887.00 / $14,547.21
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.41 / $1,201.40 / $5,175.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.73 / $1,142.39 / $2,014.79
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,173.39 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.43 / $1,001.08 / $1,376.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.93 / $1,689.51 / $2,223.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,671.00 / $14,018.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.29 / $1,288.74 / $5,175.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $13,017.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.20 / $1,095.16 / $2,266.29