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Rhode Island rates for HCPCS 25924

Disarticulation Thru Wrist Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.23 / $833.92 / $995.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.16 / $861.12 / $1,172.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.00 / $1,070.86 / $1,440.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,713.00 / $7,457.00 / $12,945.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.74 / $1,018.52 / $1,540.35