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Minnesota rates for HCPCS 25924

Disarticulation Thru Wrist Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.12 / $719.12 / $719.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.70 / $723.71 / $1,129.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,919.09 / $5,561.08 / $10,505.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.27 / $2,017.67 / $2,564.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.43 / $2,473.67 / $5,950.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.50 / $2,074.86 / $3,081.48
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.94 / $2,261.53 / $4,685.64
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.24 / $1,859.81 / $2,825.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.48 / $1,215.31 / $2,155.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.79 / $1,341.32 / $2,768.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $9,370.00 / $12,774.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.79 / $1,248.72 / $2,614.48