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Oklahoma rates for HCPCS 25924

Disarticulation through wrist; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,742.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.01 / $750.78 / $764.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.17 / $880.75 / $1,101.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.55 / $958.34 / $10,232.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.35 / $770.59 / $5,300.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $6,980.00 / $14,139.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.03 / $725.04 / $1,022.31