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Ohio rates for HCPCS 25924

Disarticulation through wrist; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.50 / $4,723.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.01 / $691.50 / $1,252.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,315.00 / $16,655.00 / $29,882.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.09 / $745.72 / $1,217.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.99 / $809.83 / $1,075.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.35 / $944.80 / $127,498.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.85 / $918.51 / $1,301.63
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.92 / $810.92 / $810.92
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.85 / $944.81 / $1,301.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.32 / $492.18 / $852.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $8,440.00 / $13,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.05 / $845.99 / $1,380.93