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Missouri rates for HCPCS 25924

Disarticulation through wrist; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.38 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.19 / $725.48 / $1,133.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $14,717.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.22 / $795.00 / $1,243.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.25 / $934.11 / $1,509.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.42 / $1,000.64 / $4,250.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.41 / $964.36 / $5,300.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,913.00 / $4,432.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.54 / $886.05 / $1,472.20