go back

Tennessee rates for HCPCS 25924

Disarticulation through wrist; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,371.70 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.19 / $702.38 / $1,144.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,430.00 / $5,500.00 / $9,272.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.81 / $902.79 / $1,434.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.18 / $922.67 / $1,399.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,370.84 / $3,654.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,175.52 / $5,300.32 / $6,164.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,959.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.28 / $761.29 / $1,386.91